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 $562.34 Median $562.34 Typical High $645.65 | Facility | None | $562.34 | $562.34 | $645.65 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $588.84 Typical High $645.65 | Professional | None | $562.34 | $588.84 | $645.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $5,011.87 | Facility | None | $1,096.48 | $1,096.48 | $5,011.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $562.34 Median $602.56 Typical High $891.25 | Professional | None | $562.34 | $602.56 | $891.25 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $426.58 Median $436.52 Typical High $758.58 | Professional | UE · Used equipment | $426.58 | $436.52 | $758.58 |
BCBS Kansas City Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $1,096.48 | Professional | None | $660.69 | $660.69 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $891.25 | Facility | None | $724.44 | $724.44 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $724.44 | Professional | None | $537.03 | $537.03 | $724.44 |
Medica Setting Facility Modifier None Typical Low $562.34 Median $1,071.52 Typical High $5,011.87 | Facility | None | $562.34 | $1,071.52 | $5,011.87 |
Medica Setting Professional Modifier None Typical Low $398.11 Median $537.03 Typical High $5,370.32 | Professional | None | $398.11 | $537.03 | $5,370.32 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
United Setting Professional Modifier None Typical Low $371.54 Median $537.03 Typical High $812.83 | Professional | None | $371.54 | $537.03 | $812.83 |
3 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 55 · Aftercare only Typical Low $83.18 Median $89.13 Typical High $95.50 | Professional | 55 · Aftercare only | $83.18 | $89.13 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $58.88 Typical High $64.57 | Professional | 56 · Pre-op care only | $56.23 | $58.88 | $64.57 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $57.54 Median $57.54 Typical High $602.56 | Professional | RR · Rental | $57.54 | $57.54 | $602.56 |
Where Missouri sits
The same service costs 2.0 times more in Montana 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· 31st of 51
$603
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.