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 $870.96 Median $870.96 Typical High $1,000.00 | Facility | None | $870.96 | $870.96 | $1,000.00 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $933.25 Typical High $1,000.00 | Professional | None | $870.96 | $933.25 | $1,000.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $7,943.28 | Facility | None | $1,698.24 | $1,698.24 | $7,943.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,584.89 | Professional | None | $912.01 | $912.01 | $1,584.89 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $676.08 Median $691.83 Typical High $1,174.90 | Professional | UE · Used equipment | $676.08 | $691.83 | $1,174.90 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,698.24 | Professional | None | $1,023.29 | $1,023.29 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $1,000.00 | Facility | None | $933.25 | $933.25 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $933.25 | Professional | None | $691.83 | $691.83 | $933.25 |
Medica Setting Facility Modifier None Typical Low $870.96 Median $1,659.59 Typical High $7,943.28 | Facility | None | $870.96 | $1,659.59 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $630.96 Median $831.76 Typical High $8,511.38 | Professional | None | $630.96 | $831.76 | $8,511.38 |
United Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
United Setting Professional Modifier None Typical Low $575.44 Median $831.76 Typical High $1,288.25 | Professional | None | $575.44 | $831.76 | $1,288.25 |
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 $436.52 Median $457.09 Typical High $501.19 | Professional | 52 · Reduced service | $436.52 | $457.09 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $186.21 Typical High $199.53 | Professional | 53 · Discontinued | $173.78 | $186.21 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $138.04 Typical High $151.36 | Professional | 55 · Aftercare only | $131.83 | $138.04 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $93.33 Typical High $100.00 | Professional | 56 · Pre-op care only | $87.10 | $93.33 | $100.00 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $91.20 Median $91.20 Typical High $912.01 | Professional | RR · Rental | $91.20 | $91.20 | $912.01 |
Where Missouri sits
The same service costs 2.6 times more in Hawaii than in Delaware. 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· 41st of 51
$912
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.