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 $467.74 Median $467.74 Typical High $537.03 | Facility | None | $467.74 | $467.74 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $467.74 Typical High $588.84 | Professional | None | $416.87 | $467.74 | $588.84 |
Ambetter Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $3,630.78 | Facility | None | $776.25 | $776.25 | $3,630.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $575.44 Median $707.95 Typical High $1,047.13 | Professional | None | $575.44 | $707.95 | $1,047.13 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $398.11 Median $537.03 Typical High $870.96 | Professional | UE · Used equipment | $398.11 | $537.03 | $870.96 |
BCBS Kansas City Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $776.25 | Professional | None | $467.74 | $467.74 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $831.76 | Facility | None | $758.58 | $758.58 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $758.58 | Professional | None | $549.54 | $549.54 | $758.58 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $870.96 Typical High $3,388.44 | Facility | None | $446.68 | $870.96 | $3,388.44 |
Medica Setting Professional Modifier None Typical Low $457.09 Median $616.60 Typical High $5,128.61 | Professional | None | $457.09 | $616.60 | $5,128.61 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
United Setting Professional Modifier None Typical Low $407.38 Median $588.84 Typical High $870.96 | Professional | None | $407.38 | $588.84 | $870.96 |
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 $208.93 Median $234.42 Typical High $269.15 | Professional | 52 · Reduced service | $208.93 | $234.42 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $93.33 Typical High $107.15 | Professional | 53 · Discontinued | $83.18 | $93.33 | $107.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $69.18 Typical High $79.43 | Professional | 55 · Aftercare only | $63.10 | $69.18 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $46.77 Typical High $53.70 | Professional | 56 · Pre-op care only | $41.69 | $46.77 | $53.70 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $70.79 Median $70.79 Typical High $707.95 | Professional | RR · Rental | $70.79 | $70.79 | $707.95 |
Where Missouri sits
The same service costs 2.6 times more in Hawaii than in Utah. 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· 33rd of 51
$617
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.