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 $177.83 Median $177.83 Typical High $204.17 | Facility | None | $177.83 | $177.83 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $186.21 Typical High $204.17 | Professional | None | $177.83 | $186.21 | $204.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $1,584.89 | Facility | None | $346.74 | $346.74 | $1,584.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $194.98 Median $208.93 Typical High $275.42 | Professional | None | $194.98 | $208.93 | $275.42 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $144.54 Median $154.88 Typical High $239.88 | Professional | UE · Used equipment | $144.54 | $154.88 | $239.88 |
BCBS Kansas City Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $346.74 | Professional | None | $204.17 | $204.17 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $234.42 | Facility | None | $218.78 | $218.78 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $218.78 | Professional | None | $158.49 | $158.49 | $218.78 |
Medica Setting Facility Modifier None Typical Low $181.97 Median $363.08 Typical High $1,737.80 | Facility | None | $181.97 | $363.08 | $1,737.80 |
Medica Setting Professional Modifier None Typical Low $141.25 Median $169.82 Typical High $2,137.96 | Professional | None | $141.25 | $169.82 | $2,137.96 |
United Setting Facility Modifier None Typical Low $36.31 Median $169.82 Typical High $457.09 | Facility | None | $36.31 | $169.82 | $457.09 |
United Setting Professional Modifier None Typical Low $128.82 Median $169.82 Typical High $257.04 | Professional | None | $128.82 | $169.82 | $257.04 |
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 $89.13 Median $93.33 Typical High $102.33 | Professional | 52 · Reduced service | $89.13 | $93.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $37.15 Typical High $40.74 | Professional | 53 · Discontinued | $35.48 | $37.15 | $40.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $27.54 Typical High $30.20 | Professional | 55 · Aftercare only | $26.30 | $27.54 | $30.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $18.62 Typical High $20.42 | Professional | 56 · Pre-op care only | $17.78 | $18.62 | $20.42 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $20.42 Median $20.42 Typical High $204.17 | Professional | RR · Rental | $20.42 | $20.42 | $204.17 |
Where Missouri sits
The same service costs 3.6 times more in Georgia than in Alaska. 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· 34th of 51
$204
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.