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 $1,318.26 Median $1,318.26 Typical High $1,513.56 | Facility | None | $1,318.26 | $1,318.26 | $1,513.56 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,380.38 Typical High $1,513.56 | Professional | None | $1,318.26 | $1,380.38 | $1,513.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $11,748.98 | Facility | None | $2,570.40 | $2,570.40 | $11,748.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,380.38 Median $1,548.82 Typical High $2,089.30 | Professional | None | $1,380.38 | $1,548.82 | $2,089.30 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,023.29 Median $1,122.02 Typical High $1,778.28 | Professional | UE · Used equipment | $1,023.29 | $1,122.02 | $1,778.28 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $2,570.40 | Professional | None | $1,548.82 | $1,548.82 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,659.59 | Facility | None | $1,548.82 | $1,548.82 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,548.82 | Professional | None | $1,122.02 | $1,122.02 | $1,548.82 |
Medica Setting Facility Modifier None Typical Low $1,318.26 Median $2,511.89 Typical High $12,302.69 | Facility | None | $1,318.26 | $2,511.89 | $12,302.69 |
Medica Setting Professional Modifier None Typical Low $977.24 Median $1,258.93 Typical High $15,135.61 | Professional | None | $977.24 | $1,258.93 | $15,135.61 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $1,659.59 Typical High $3,235.94 | Facility | None | $1,584.89 | $1,659.59 | $3,235.94 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,258.93 Typical High $1,862.09 | Professional | None | $912.01 | $1,258.93 | $1,862.09 |
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 $660.69 Median $691.83 Typical High $758.58 | Professional | 52 · Reduced service | $660.69 | $691.83 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $275.42 Typical High $302.00 | Professional | 53 · Discontinued | $263.03 | $275.42 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $208.93 Typical High $229.09 | Professional | 55 · Aftercare only | $199.53 | $208.93 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $138.04 Typical High $151.36 | Professional | 56 · Pre-op care only | $131.83 | $138.04 | $151.36 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $147.91 Median $147.91 Typical High $1,479.11 | Professional | RR · Rental | $147.91 | $147.91 | $1,479.11 |
Where Missouri sits
The same service costs 3.1 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· 30th of 51
$1,479
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.