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 $954.99 Median $954.99 Typical High $1,096.48 | Facility | None | $954.99 | $954.99 | $1,096.48 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $1,000.00 Typical High $1,096.48 | Professional | None | $954.99 | $1,000.00 | $1,096.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $8,511.38 | Facility | None | $1,862.09 | $1,862.09 | $8,511.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,047.13 Median $1,122.02 Typical High $1,513.56 | Professional | None | $1,047.13 | $1,122.02 | $1,513.56 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $776.25 Median $812.83 Typical High $1,288.25 | Professional | UE · Used equipment | $776.25 | $812.83 | $1,288.25 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,862.09 | Professional | None | $1,122.02 | $1,122.02 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,479.11 | Facility | None | $1,380.38 | $1,380.38 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,380.38 | Professional | None | $1,023.29 | $1,023.29 | $1,380.38 |
Medica Setting Facility Modifier None Typical Low $954.99 Median $1,819.70 Typical High $9,332.54 | Facility | None | $954.99 | $1,819.70 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $741.31 Median $912.01 Typical High $11,481.54 | Professional | None | $741.31 | $912.01 | $11,481.54 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,174.90 Typical High $2,398.83 | Facility | None | $1,000.00 | $1,174.90 | $2,398.83 |
United Setting Professional Modifier None Typical Low $691.83 Median $912.01 Typical High $1,380.38 | Professional | None | $691.83 | $912.01 | $1,380.38 |
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 $478.63 Median $501.19 Typical High $549.54 | Professional | 52 · Reduced service | $478.63 | $501.19 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $199.53 Typical High $223.87 | Professional | 53 · Discontinued | $190.55 | $199.53 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $151.36 Typical High $165.96 | Professional | 55 · Aftercare only | $144.54 | $151.36 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $100.00 Typical High $109.65 | Professional | 56 · Pre-op care only | $95.50 | $100.00 | $109.65 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $109.65 Median $109.65 Typical High $1,096.48 | Professional | RR · Rental | $109.65 | $109.65 | $1,096.48 |
Where Missouri sits
The same service costs 2.7 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· 36th of 51
$1,096
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.