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 $1,584.89 Median $1,584.89 Typical High $1,819.70 | Facility | None | $1,584.89 | $1,584.89 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $1,584.89 Median $1,659.59 Typical High $1,819.70 | Professional | None | $1,584.89 | $1,659.59 | $1,819.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $14,454.40 | Facility | None | $3,090.30 | $3,090.30 | $14,454.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,348.96 Median $1,778.28 Typical High $2,511.89 | Professional | None | $1,348.96 | $1,778.28 | $2,511.89 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,000.00 Median $1,047.13 Typical High $2,137.96 | Professional | UE · Used equipment | $1,000.00 | $1,047.13 | $2,137.96 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $3,090.30 | Professional | None | $1,862.09 | $1,862.09 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,819.70 | Facility | None | $1,698.24 | $1,698.24 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,698.24 | Professional | None | $1,230.27 | $1,230.27 | $1,698.24 |
Medica Setting Facility Modifier None Typical Low $1,288.25 Median $2,951.21 Typical High $11,748.98 | Facility | None | $1,288.25 | $2,951.21 | $11,748.98 |
Medica Setting Professional Modifier None Typical Low $1,000.00 Median $1,513.56 Typical High $14,454.40 | Professional | None | $1,000.00 | $1,513.56 | $14,454.40 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $3,090.30 | Facility | None | $1,513.56 | $1,513.56 | $3,090.30 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,412.54 Typical High $2,187.76 | Professional | None | $954.99 | $1,412.54 | $2,187.76 |
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 $794.33 Median $831.76 Typical High $912.01 | Professional | 52 · Reduced service | $794.33 | $831.76 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $331.13 Typical High $363.08 | Professional | 53 · Discontinued | $316.23 | $331.13 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $251.19 Typical High $275.42 | Professional | 55 · Aftercare only | $239.88 | $251.19 | $275.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $165.96 Typical High $181.97 | Professional | 56 · Pre-op care only | $158.49 | $165.96 | $181.97 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $138.04 Median $138.04 Typical High $1,380.38 | Professional | RR · Rental | $138.04 | $138.04 | $1,380.38 |
Where Missouri sits
The same service costs 2.8 times more in Hawaii than in Arizona. 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· 25th of 51
$1,585
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.