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 $912.01 Median $912.01 Typical High $1,047.13 | Facility | None | $912.01 | $912.01 | $1,047.13 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $954.99 Typical High $1,047.13 | Professional | None | $912.01 | $954.99 | $1,047.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $8,128.31 | Facility | None | $1,778.28 | $1,778.28 | $8,128.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $870.96 Median $1,071.52 Typical High $1,445.44 | Professional | None | $870.96 | $1,071.52 | $1,445.44 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $645.65 Median $676.08 Typical High $1,230.27 | Professional | UE · Used equipment | $645.65 | $676.08 | $1,230.27 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,778.28 | Professional | None | $1,071.52 | $1,071.52 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,230.27 | Facility | None | $1,148.15 | $1,148.15 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,148.15 | Professional | None | $831.76 | $831.76 | $1,148.15 |
Medica Setting Facility Modifier None Typical Low $912.01 Median $1,737.80 Typical High $7,943.28 | Facility | None | $912.01 | $1,737.80 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $616.60 Median $870.96 Typical High $13,182.57 | Professional | None | $616.60 | $870.96 | $13,182.57 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,258.93 Typical High $2,041.74 | Facility | None | $1,000.00 | $1,258.93 | $2,041.74 |
United Setting Professional Modifier None Typical Low $575.44 Median $851.14 Typical High $1,318.26 | Professional | None | $575.44 | $851.14 | $1,318.26 |
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 $457.09 Median $478.63 Typical High $524.81 | Professional | 52 · Reduced service | $457.09 | $478.63 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $190.55 Typical High $208.93 | Professional | 53 · Discontinued | $181.97 | $190.55 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $144.54 Typical High $158.49 | Professional | 55 · Aftercare only | $138.04 | $144.54 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $95.50 Typical High $104.71 | Professional | 56 · Pre-op care only | $91.20 | $95.50 | $104.71 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $91.20 Median $91.20 Typical High $912.01 | Professional | RR · Rental | $91.20 | $91.20 | $912.01 |
Where Missouri sits
The same service costs 3.9 times more in Hawaii than in West Virginia. 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· 28th of 51
$933
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.