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 $288.40 Median $288.40 Typical High $331.13 | Facility | None | $288.40 | $288.40 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $302.00 Typical High $331.13 | Professional | None | $288.40 | $302.00 | $331.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $2,570.40 | Facility | None | $562.34 | $562.34 | $2,570.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $288.40 Median $338.84 Typical High $446.68 | Professional | None | $288.40 | $338.84 | $446.68 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $218.78 Median $223.87 Typical High $389.05 | Professional | UE · Used equipment | $218.78 | $223.87 | $389.05 |
BCBS Kansas City Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $562.34 | Professional | None | $331.13 | $331.13 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $416.87 | Facility | None | $389.05 | $389.05 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $389.05 | Professional | None | $281.84 | $281.84 | $389.05 |
Medica Setting Facility Modifier None Typical Low $281.84 Median $549.54 Typical High $2,630.27 | Facility | None | $281.84 | $549.54 | $2,630.27 |
Medica Setting Professional Modifier None Typical Low $204.17 Median $275.42 Typical High $3,548.13 | Professional | None | $204.17 | $275.42 | $3,548.13 |
United Setting Facility Modifier None Typical Low $331.13 Median $426.58 Typical High $676.08 | Facility | None | $331.13 | $426.58 | $676.08 |
United Setting Professional Modifier None Typical Low $190.55 Median $275.42 Typical High $398.11 | Professional | None | $190.55 | $275.42 | $398.11 |
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 $144.54 Median $151.36 Typical High $165.96 | Professional | 52 · Reduced service | $144.54 | $151.36 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $60.26 Typical High $66.07 | Professional | 53 · Discontinued | $57.54 | $60.26 | $66.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $44.67 Typical High $48.98 | Professional | 55 · Aftercare only | $42.66 | $44.67 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $30.20 Typical High $33.11 | Professional | 56 · Pre-op care only | $28.84 | $30.20 | $33.11 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $30.20 Median $30.20 Typical High $302.00 | Professional | RR · Rental | $30.20 | $30.20 | $302.00 |
Where Missouri sits
The same service costs 3.4 times more in Hawaii than in Washington, DC. 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
$302
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.