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 $363.08 Median $363.08 Typical High $416.87 | Facility | None | $363.08 | $363.08 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $380.19 Typical High $416.87 | Professional | None | $363.08 | $380.19 | $416.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $3,235.94 | Facility | None | $707.95 | $707.95 | $3,235.94 |
Anthem BCBS Setting Professional Modifier None Typical Low $380.19 Median $426.58 Typical High $562.34 | Professional | None | $380.19 | $426.58 | $562.34 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $288.40 Median $288.40 Typical High $489.78 | Professional | UE · Used equipment | $288.40 | $288.40 | $489.78 |
BCBS Kansas City Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $707.95 | Professional | None | $426.58 | $426.58 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $457.09 | Facility | None | $407.38 | $407.38 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $407.38 | Professional | None | $295.12 | $295.12 | $407.38 |
Medica Setting Facility Modifier None Typical Low $363.08 Median $691.83 Typical High $3,548.13 | Facility | None | $363.08 | $691.83 | $3,548.13 |
Medica Setting Professional Modifier None Typical Low $269.15 Median $346.74 Typical High $4,570.88 | Professional | None | $269.15 | $346.74 | $4,570.88 |
United Setting Facility Modifier None Typical Low $436.52 Median $891.25 Typical High $891.25 | Facility | None | $436.52 | $891.25 | $891.25 |
United Setting Professional Modifier None Typical Low $251.19 Median $346.74 Typical High $524.81 | Professional | None | $251.19 | $346.74 | $524.81 |
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 $181.97 Median $190.55 Typical High $208.93 | Professional | 52 · Reduced service | $181.97 | $190.55 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $75.86 Typical High $83.18 | Professional | 53 · Discontinued | $72.44 | $75.86 | $83.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $57.54 Typical High $61.66 | Professional | 55 · Aftercare only | $53.70 | $57.54 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $38.02 Typical High $41.69 | Professional | 56 · Pre-op care only | $36.31 | $38.02 | $41.69 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $38.02 Median $38.02 Typical High $398.11 | Professional | RR · Rental | $38.02 | $38.02 | $398.11 |
Where Missouri sits
The same service costs 3.5 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
$398
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.