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 $977.24 Median $977.24 Typical High $1,122.02 | Facility | None | $977.24 | $977.24 | $1,122.02 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $1,023.29 Typical High $1,122.02 | Professional | None | $977.24 | $1,023.29 | $1,122.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $8,912.51 | Facility | None | $1,905.46 | $1,905.46 | $8,912.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,096.48 Median $1,148.15 Typical High $1,548.82 | Professional | None | $1,096.48 | $1,148.15 | $1,548.82 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $794.33 Median $851.14 Typical High $1,318.26 | Professional | UE · Used equipment | $794.33 | $851.14 | $1,318.26 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,905.46 | Professional | None | $1,148.15 | $1,148.15 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,258.93 | Facility | None | $1,174.90 | $1,174.90 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,174.90 | Professional | None | $851.14 | $851.14 | $1,174.90 |
Medica Setting Facility Modifier None Typical Low $977.24 Median $1,862.09 Typical High $10,000.00 | Facility | None | $977.24 | $1,862.09 | $10,000.00 |
Medica Setting Professional Modifier None Typical Low $776.25 Median $933.25 Typical High $12,022.64 | Professional | None | $776.25 | $933.25 | $12,022.64 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,258.93 Typical High $2,570.40 | Facility | None | $1,122.02 | $1,258.93 | $2,570.40 |
United Setting Professional Modifier None Typical Low $707.95 Median $933.25 Typical High $1,445.44 | Professional | None | $707.95 | $933.25 | $1,445.44 |
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 $489.78 Median $512.86 Typical High $562.34 | Professional | 52 · Reduced service | $489.78 | $512.86 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $204.17 Typical High $223.87 | Professional | 53 · Discontinued | $194.98 | $204.17 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $154.88 Typical High $169.82 | Professional | 55 · Aftercare only | $147.91 | $154.88 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $102.33 Typical High $112.20 | Professional | 56 · Pre-op care only | $97.72 | $102.33 | $112.20 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $112.20 Median $112.20 Typical High $1,122.02 | Professional | RR · Rental | $112.20 | $112.20 | $1,122.02 |
Where Missouri sits
The same service costs 3.3 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· 33rd of 51
$1,122
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.