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 $338.84 Median $338.84 Typical High $380.19 | Facility | None | $338.84 | $338.84 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $354.81 Typical High $389.05 | Professional | None | $338.84 | $354.81 | $389.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $3,019.95 | Facility | None | $660.69 | $660.69 | $3,019.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $371.54 Median $389.05 Typical High $524.81 | Professional | None | $371.54 | $389.05 | $524.81 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $281.84 Median $281.84 Typical High $446.68 | Professional | UE · Used equipment | $281.84 | $281.84 | $446.68 |
BCBS Kansas City Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $660.69 | Professional | None | $389.05 | $389.05 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $426.58 | Facility | None | $398.11 | $398.11 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $398.11 | Professional | None | $295.12 | $295.12 | $398.11 |
Medica Setting Facility Modifier None Typical Low $338.84 Median $575.44 Typical High $3,388.44 | Facility | None | $338.84 | $575.44 | $3,388.44 |
Medica Setting Professional Modifier None Typical Low $269.15 Median $316.23 Typical High $4,265.80 | Professional | None | $269.15 | $316.23 | $4,265.80 |
United Setting Facility Modifier None Typical Low $295.12 Median $331.13 Typical High $870.96 | Facility | None | $295.12 | $331.13 | $870.96 |
United Setting Professional Modifier None Typical Low $245.47 Median $316.23 Typical High $489.78 | Professional | None | $245.47 | $316.23 | $489.78 |
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 $165.96 Median $177.83 Typical High $194.98 | Professional | 52 · Reduced service | $165.96 | $177.83 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $70.79 Typical High $77.62 | Professional | 53 · Discontinued | $67.61 | $70.79 | $77.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $52.48 Typical High $58.88 | Professional | 55 · Aftercare only | $50.12 | $52.48 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $35.48 Typical High $38.90 | Professional | 56 · Pre-op care only | $33.88 | $35.48 | $38.90 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $37.15 Median $37.15 Typical High $371.54 | Professional | RR · Rental | $37.15 | $37.15 | $371.54 |
Where Missouri sits
The same service costs 3.0 times more in Montana than in Florida. 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· 42nd of 51
$372
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.