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 $47.86 Median $47.86 Typical High $63.10 | Facility | None | $47.86 | $47.86 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $48.98 Typical High $63.10 | Professional | None | $47.86 | $48.98 | $63.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $316.23 | Facility | None | $67.61 | $67.61 | $316.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $58.88 | Professional | None | $38.02 | $38.02 | $58.88 |
BCBS Kansas City Setting Professional Modifier None Typical Low $37.15 Median $40.74 Typical High $40.74 | Professional | None | $37.15 | $40.74 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
Medica Setting Facility Modifier None Typical Low $50.12 Median $107.15 Typical High $1,000.00 | Facility | None | $50.12 | $107.15 | $1,000.00 |
Medica Setting Professional Modifier None Typical Low $27.54 Median $33.11 Typical High $436.52 | Professional | None | $27.54 | $33.11 | $436.52 |
United Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
United Setting Professional Modifier None Typical Low $10.96 Median $30.90 Typical High $40.74 | Professional | None | $10.96 | $30.90 | $40.74 |
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 $23.99 Median $24.55 Typical High $31.62 | Professional | 52 · Reduced service | $23.99 | $24.55 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $9.77 Typical High $12.59 | Professional | 53 · Discontinued | $9.55 | $9.77 | $12.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $7.41 Typical High $9.55 | Professional | 55 · Aftercare only | $7.08 | $7.41 | $9.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $4.90 Typical High $6.31 | Professional | 56 · Pre-op care only | $4.79 | $4.90 | $6.31 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $28.84 Median $38.02 Typical High $53.70 | Professional | UE · Used equipment | $28.84 | $38.02 | $53.70 |
Where Missouri sits
The same service costs 2.7 times more in Hawaii than in Alabama. 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· 45th of 51
$38.02
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.