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 $20,417.38 Median $20,417.38 Typical High $22,908.68 | Facility | None | $20,417.38 | $20,417.38 | $22,908.68 |
Aetna Setting Professional Modifier None Typical Low $20,417.38 Median $21,379.62 Typical High $23,442.29 | Professional | None | $20,417.38 | $21,379.62 | $23,442.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $39,810.72 Median $39,810.72 Typical High $181,970.09 | Facility | None | $39,810.72 | $39,810.72 | $181,970.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $25,703.96 Median $53,703.18 Typical High $53,703.18 | Professional | None | $25,703.96 | $53,703.18 | $53,703.18 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $19,054.61 Median $40,738.03 Typical High $40,738.03 | Professional | UE · Used equipment | $19,054.61 | $40,738.03 | $40,738.03 |
Cigna Setting Facility Modifier None Typical Low $36,307.81 Median $36,307.81 Typical High $36,307.81 | Facility | None | $36,307.81 | $36,307.81 | $36,307.81 |
Cigna Setting Professional Modifier None Typical Low $32,359.37 Median $32,359.37 Typical High $32,359.37 | Professional | None | $32,359.37 | $32,359.37 | $32,359.37 |
Medica Setting Facility Modifier None Typical Low $20,892.96 Median $43,651.58 Typical High $181,970.09 | Facility | None | $20,892.96 | $43,651.58 | $181,970.09 |
Medica Setting Professional Modifier None Typical Low $16,595.87 Median $20,417.38 Typical High $194,984.46 | Professional | None | $16,595.87 | $20,417.38 | $194,984.46 |
United Setting Facility Modifier None Typical Low $44,668.36 Median $44,668.36 Typical High $44,668.36 | Facility | None | $44,668.36 | $44,668.36 | $44,668.36 |
United Setting Professional Modifier None Typical Low $14,791.08 Median $20,417.38 Typical High $33,113.11 | Professional | None | $14,791.08 | $20,417.38 | $33,113.11 |
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 $10,000.00 Median $10,715.19 Typical High $11,748.98 | Professional | 52 · Reduced service | $10,000.00 | $10,715.19 | $11,748.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4,073.80 Median $4,265.80 Typical High $4,677.35 | Professional | 53 · Discontinued | $4,073.80 | $4,265.80 | $4,677.35 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3,019.95 Median $3,162.28 Typical High $3,548.13 | Professional | 55 · Aftercare only | $3,019.95 | $3,162.28 | $3,548.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2,041.74 Median $2,137.96 Typical High $2,344.23 | Professional | 56 · Pre-op care only | $2,041.74 | $2,137.96 | $2,344.23 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5,370.32 Median $5,370.32 Typical High $53,703.18 | Professional | RR · Rental | $5,370.32 | $5,370.32 | $53,703.18 |
Where Missouri sits
The same service costs 2.7 times more in Georgia than in Arizona. 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
$32,359
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.