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 $691.83 Median $691.83 Typical High $794.33 | Facility | None | $691.83 | $691.83 | $794.33 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $724.44 Typical High $794.33 | Professional | None | $691.83 | $724.44 | $794.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $6,165.95 | Facility | None | $1,348.96 | $1,348.96 | $6,165.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $758.58 Median $812.83 Typical High $1,071.52 | Professional | None | $758.58 | $812.83 | $1,071.52 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $562.34 Median $588.84 Typical High $933.25 | Professional | UE · Used equipment | $562.34 | $588.84 | $933.25 |
BCBS Kansas City Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,348.96 | Professional | None | $812.83 | $812.83 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $912.01 | Facility | None | $831.76 | $831.76 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $831.76 | Professional | None | $602.56 | $602.56 | $831.76 |
Medica Setting Facility Modifier None Typical Low $691.83 Median $1,318.26 Typical High $7,079.46 | Facility | None | $691.83 | $1,318.26 | $7,079.46 |
Medica Setting Professional Modifier None Typical Low $549.54 Median $660.69 Typical High $12,882.50 | Professional | None | $549.54 | $660.69 | $12,882.50 |
United Setting Facility Modifier None Typical Low $870.96 Median $1,348.96 Typical High $1,778.28 | Facility | None | $870.96 | $1,348.96 | $1,778.28 |
United Setting Professional Modifier None Typical Low $501.19 Median $660.69 Typical High $1,000.00 | Professional | None | $501.19 | $660.69 | $1,000.00 |
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 $346.74 Median $363.08 Typical High $398.11 | Professional | 52 · Reduced service | $346.74 | $363.08 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $144.54 Typical High $158.49 | Professional | 53 · Discontinued | $138.04 | $144.54 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $109.65 Typical High $117.49 | Professional | 55 · Aftercare only | $102.33 | $109.65 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $72.44 Typical High $79.43 | Professional | 56 · Pre-op care only | $69.18 | $72.44 | $79.43 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $79.43 Median $79.43 Typical High $812.83 | Professional | RR · Rental | $79.43 | $79.43 | $812.83 |
Where Missouri sits
The same service costs 5.4 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· 34th of 51
$794
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.