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 $446.68 Median $446.68 Typical High $512.86 | Facility | None | $446.68 | $446.68 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $467.74 Typical High $512.86 | Professional | None | $446.68 | $467.74 | $512.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $3,981.07 | Facility | None | $870.96 | $870.96 | $3,981.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $467.74 Median $501.19 Typical High $691.83 | Professional | None | $467.74 | $501.19 | $691.83 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $354.81 Median $363.08 Typical High $602.56 | Professional | UE · Used equipment | $354.81 | $363.08 | $602.56 |
BCBS Kansas City Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $870.96 | Professional | None | $524.81 | $524.81 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $549.54 | Facility | None | $501.19 | $501.19 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $501.19 | Professional | None | $363.08 | $363.08 | $501.19 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $851.14 Typical High $4,265.80 | Facility | None | $446.68 | $851.14 | $4,265.80 |
Medica Setting Professional Modifier None Typical Low $331.13 Median $426.58 Typical High $5,623.41 | Professional | None | $331.13 | $426.58 | $5,623.41 |
United Setting Facility Modifier None Typical Low $537.03 Median $562.34 Typical High $1,096.48 | Facility | None | $537.03 | $562.34 | $1,096.48 |
United Setting Professional Modifier None Typical Low $309.03 Median $426.58 Typical High $645.65 | Professional | None | $309.03 | $426.58 | $645.65 |
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 $223.87 Median $234.42 Typical High $257.04 | Professional | 52 · Reduced service | $223.87 | $234.42 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $93.33 Typical High $102.33 | Professional | 53 · Discontinued | $89.13 | $93.33 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $70.79 Typical High $75.86 | Professional | 55 · Aftercare only | $66.07 | $70.79 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $46.77 Typical High $51.29 | Professional | 56 · Pre-op care only | $44.67 | $46.77 | $51.29 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $48.98 Median $48.98 Typical High $489.78 | Professional | RR · Rental | $48.98 | $48.98 | $489.78 |
Where Missouri sits
The same service costs 3.9 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· 32nd of 51
$490
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.