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 $660.69 Median $660.69 Typical High $758.58 | Facility | None | $660.69 | $660.69 | $758.58 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $691.83 Typical High $831.76 | Professional | None | $660.69 | $691.83 | $831.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $5,888.44 | Facility | None | $1,288.25 | $1,288.25 | $5,888.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $660.69 Median $741.31 Typical High $1,047.13 | Professional | None | $660.69 | $741.31 | $1,047.13 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $489.78 Median $616.60 Typical High $891.25 | Professional | UE · Used equipment | $489.78 | $616.60 | $891.25 |
BCBS Kansas City Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $1,288.25 | Professional | None | $776.25 | $776.25 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $891.25 | Facility | None | $831.76 | $831.76 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $831.76 | Professional | None | $616.60 | $616.60 | $831.76 |
Medica Setting Facility Modifier None Typical Low $660.69 Median $1,258.93 Typical High $6,606.93 | Facility | None | $660.69 | $1,258.93 | $6,606.93 |
Medica Setting Professional Modifier None Typical Low $524.81 Median $630.96 Typical High $8,128.31 | Professional | None | $524.81 | $630.96 | $8,128.31 |
United Setting Facility Modifier None Typical Low $630.96 Median $794.33 Typical High $1,698.24 | Facility | None | $630.96 | $794.33 | $1,698.24 |
United Setting Professional Modifier None Typical Low $478.63 Median $630.96 Typical High $954.99 | Professional | None | $478.63 | $630.96 | $954.99 |
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 $331.13 Median $346.74 Typical High $380.19 | Professional | 52 · Reduced service | $331.13 | $346.74 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $138.04 Typical High $151.36 | Professional | 53 · Discontinued | $131.83 | $138.04 | $151.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $104.71 Typical High $114.82 | Professional | 55 · Aftercare only | $97.72 | $104.71 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $69.18 Typical High $75.86 | Professional | 56 · Pre-op care only | $66.07 | $69.18 | $75.86 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $83.18 Median $83.18 Typical High $851.14 | Professional | RR · Rental | $83.18 | $83.18 | $851.14 |
Where Missouri sits
The same service costs 3.2 times more in Hawaii than in Delaware. 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· 39th of 51
$741
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.