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 $707.95 Median $707.95 Typical High $812.83 | Facility | None | $707.95 | $707.95 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $741.31 Typical High $812.83 | Professional | None | $707.95 | $741.31 | $812.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $6,309.57 | Facility | None | $1,380.38 | $1,380.38 | $6,309.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $776.25 Median $831.76 Typical High $1,148.15 | Professional | None | $776.25 | $831.76 | $1,148.15 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $575.44 Median $588.84 Typical High $954.99 | Professional | UE · Used equipment | $575.44 | $588.84 | $954.99 |
BCBS Kansas City Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,380.38 | Professional | None | $831.76 | $831.76 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $912.01 | Facility | None | $851.14 | $851.14 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $851.14 | Professional | None | $616.60 | $616.60 | $851.14 |
Medica Setting Facility Modifier None Typical Low $724.44 Median $1,348.96 Typical High $7,079.46 | Facility | None | $724.44 | $1,348.96 | $7,079.46 |
Medica Setting Professional Modifier None Typical Low $562.34 Median $676.08 Typical High $8,709.64 | Professional | None | $562.34 | $676.08 | $8,709.64 |
United Setting Facility Modifier None Typical Low $630.96 Median $776.25 Typical High $1,819.70 | Facility | None | $630.96 | $776.25 | $1,819.70 |
United Setting Professional Modifier None Typical Low $512.86 Median $676.08 Typical High $1,023.29 | Professional | None | $512.86 | $676.08 | $1,023.29 |
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 $354.81 Median $371.54 Typical High $407.38 | Professional | 52 · Reduced service | $354.81 | $371.54 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $147.91 Typical High $162.18 | Professional | 53 · Discontinued | $141.25 | $147.91 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $112.20 Typical High $120.23 | Professional | 55 · Aftercare only | $107.15 | $112.20 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $74.13 Typical High $81.28 | Professional | 56 · Pre-op care only | $70.79 | $74.13 | $81.28 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $79.43 Median $79.43 Typical High $794.33 | Professional | RR · Rental | $79.43 | $79.43 | $794.33 |
Where Missouri sits
The same service costs 3.0 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· 40th 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.