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 $741.31 Median $741.31 Typical High $831.76 | Facility | None | $741.31 | $741.31 | $831.76 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $776.25 Typical High $831.76 | Professional | None | $741.31 | $776.25 | $831.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $6,606.93 | Facility | None | $1,445.44 | $1,445.44 | $6,606.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $741.31 Median $870.96 Typical High $1,148.15 | Professional | None | $741.31 | $870.96 | $1,148.15 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $562.34 Median $575.44 Typical High $977.24 | Professional | UE · Used equipment | $562.34 | $575.44 | $977.24 |
BCBS Kansas City Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,445.44 | Professional | None | $851.14 | $851.14 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,122.02 | Facility | None | $1,047.13 | $1,047.13 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $1,047.13 | Professional | None | $776.25 | $776.25 | $1,047.13 |
Medica Setting Facility Modifier None Typical Low $741.31 Median $1,412.54 Typical High $6,760.83 | Facility | None | $741.31 | $1,412.54 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $524.81 Median $691.83 Typical High $9,772.37 | Professional | None | $524.81 | $691.83 | $9,772.37 |
United Setting Facility Modifier None Typical Low $851.14 Median $977.24 Typical High $1,737.80 | Facility | None | $851.14 | $977.24 | $1,737.80 |
United Setting Professional Modifier None Typical Low $489.78 Median $691.83 Typical High $1,071.52 | Professional | None | $489.78 | $691.83 | $1,071.52 |
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 $363.08 Median $389.05 Typical High $416.87 | Professional | 52 · Reduced service | $363.08 | $389.05 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $154.88 Typical High $169.82 | Professional | 53 · Discontinued | $147.91 | $154.88 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $114.82 Typical High $125.89 | Professional | 55 · Aftercare only | $109.65 | $114.82 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $77.62 Typical High $83.18 | Professional | 56 · Pre-op care only | $74.13 | $77.62 | $83.18 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $77.62 Median $77.62 Typical High $776.25 | Professional | RR · Rental | $77.62 | $77.62 | $776.25 |
Where Missouri sits
The same service costs 3.5 times more in Hawaii 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
$776
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.