How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $38.90 | Facility | None | $28.84 | $28.84 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $30.20 Typical High $38.90 | Professional | None | $28.84 | $30.20 | $38.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $190.55 | Facility | None | $41.69 | $41.69 | $190.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $35.48 | Professional | None | $19.95 | $19.95 | $35.48 |
BCBS Kansas City Setting Professional Modifier None Typical Low $22.91 Median $25.12 Typical High $25.12 | Professional | None | $22.91 | $25.12 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
Medica Setting Facility Modifier None Typical Low $30.20 Median $64.57 Typical High $1,000.00 | Facility | None | $30.20 | $64.57 | $1,000.00 |
Medica Setting Professional Modifier None Typical Low $16.98 Median $20.42 Typical High $263.03 | Professional | None | $16.98 | $20.42 | $263.03 |
United Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
United Setting Professional Modifier None Typical Low $10.96 Median $18.62 Typical High $26.92 | Professional | None | $10.96 | $18.62 | $26.92 |
5 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $14.79 Typical High $19.50 | Professional | 52 · Reduced service | $14.45 | $14.79 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $6.03 Typical High $7.76 | Professional | 53 · Discontinued | $5.89 | $6.03 | $7.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.37 Median $4.47 Typical High $5.89 | Professional | 55 · Aftercare only | $4.37 | $4.47 | $5.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.88 Median $3.02 Typical High $3.89 | Professional | 56 · Pre-op care only | $2.88 | $3.02 | $3.89 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $15.49 Median $23.44 Typical High $34.67 | Professional | UE · Used equipment | $15.49 | $23.44 | $34.67 |
Where Missouri sits
The same service costs 3.2 times more in Montana than in Indiana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Missouri· 47th of 51
$20.42
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.