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 $794.33 Median $794.33 Typical High $912.01 | Facility | None | $794.33 | $794.33 | $912.01 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $831.76 Typical High $912.01 | Professional | None | $794.33 | $831.76 | $912.01 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $7,079.46 | Facility | None | $1,548.82 | $1,548.82 | $7,079.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $812.83 Median $891.25 Typical High $1,230.27 | Professional | None | $812.83 | $891.25 | $1,230.27 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $602.56 Median $616.60 Typical High $1,071.52 | Professional | UE · Used equipment | $602.56 | $616.60 | $1,071.52 |
BCBS Kansas City Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,548.82 | Professional | None | $912.01 | $912.01 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $977.24 | Facility | None | $891.25 | $891.25 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $891.25 | Professional | None | $645.65 | $645.65 | $891.25 |
Medica Setting Facility Modifier None Typical Low $776.25 Median $1,513.56 Typical High $7,413.10 | Facility | None | $776.25 | $1,513.56 | $7,413.10 |
Medica Setting Professional Modifier None Typical Low $575.44 Median $758.58 Typical High $8,128.31 | Professional | None | $575.44 | $758.58 | $8,128.31 |
United Setting Facility Modifier None Typical Low $851.14 Median $870.96 Typical High $1,862.09 | Facility | None | $851.14 | $870.96 | $1,862.09 |
United Setting Professional Modifier None Typical Low $524.81 Median $758.58 Typical High $1,096.48 | Professional | None | $524.81 | $758.58 | $1,096.48 |
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 $398.11 Median $416.87 Typical High $446.68 | Professional | 52 · Reduced service | $398.11 | $416.87 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $165.96 Typical High $181.97 | Professional | 53 · Discontinued | $158.49 | $165.96 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $123.03 Typical High $134.90 | Professional | 55 · Aftercare only | $117.49 | $123.03 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $83.18 Typical High $91.20 | Professional | 56 · Pre-op care only | $79.43 | $83.18 | $91.20 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $83.18 Median $83.18 Typical High $831.76 | Professional | RR · Rental | $83.18 | $83.18 | $831.76 |
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· 34th of 51
$851
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.