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 $1,071.52 Median $1,071.52 Typical High $1,202.26 | Facility | None | $1,071.52 | $1,071.52 | $1,202.26 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,122.02 Typical High $1,202.26 | Professional | None | $1,071.52 | $1,122.02 | $1,202.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $9,549.93 | Facility | None | $2,089.30 | $2,089.30 | $9,549.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,096.48 Median $1,202.26 Typical High $1,659.59 | Professional | None | $1,096.48 | $1,202.26 | $1,659.59 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $831.76 Median $851.14 Typical High $1,412.54 | Professional | UE · Used equipment | $831.76 | $851.14 | $1,412.54 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $2,089.30 | Professional | None | $1,230.27 | $1,230.27 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,548.82 | Facility | None | $1,288.25 | $1,288.25 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,288.25 | Professional | None | $933.25 | $933.25 | $1,288.25 |
Medica Setting Facility Modifier None Typical Low $1,071.52 Median $2,041.74 Typical High $10,000.00 | Facility | None | $1,071.52 | $2,041.74 | $10,000.00 |
Medica Setting Professional Modifier None Typical Low $776.25 Median $1,000.00 Typical High $12,022.64 | Professional | None | $776.25 | $1,000.00 | $12,022.64 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $1,318.26 Typical High $2,570.40 | Facility | None | $1,258.93 | $1,318.26 | $2,570.40 |
United Setting Professional Modifier None Typical Low $724.44 Median $1,000.00 Typical High $1,548.82 | Professional | None | $724.44 | $1,000.00 | $1,548.82 |
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 $524.81 Median $562.34 Typical High $602.56 | Professional | 52 · Reduced service | $524.81 | $562.34 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $223.87 Typical High $245.47 | Professional | 53 · Discontinued | $213.80 | $223.87 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $165.96 Typical High $181.97 | Professional | 55 · Aftercare only | $158.49 | $165.96 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $112.20 Typical High $120.23 | Professional | 56 · Pre-op care only | $107.15 | $112.20 | $120.23 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $114.82 Median $114.82 Typical High $1,148.15 | Professional | RR · Rental | $114.82 | $114.82 | $1,148.15 |
Where Missouri sits
The same service costs 3.2 times more in Hawaii than in Alabama. 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· 38th of 51
$1,148
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.