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 $398.11 Median $398.11 Typical High $457.09 | Facility | None | $398.11 | $398.11 | $457.09 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $416.87 Typical High $457.09 | Professional | None | $398.11 | $416.87 | $457.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $3,548.13 | Facility | None | $776.25 | $776.25 | $3,548.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $426.58 Median $467.74 Typical High $616.60 | Professional | None | $426.58 | $467.74 | $616.60 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $316.23 Median $346.74 Typical High $537.03 | Professional | UE · Used equipment | $316.23 | $346.74 | $537.03 |
BCBS Kansas City Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $776.25 | Professional | None | $457.09 | $457.09 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $501.19 | Facility | None | $446.68 | $446.68 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $446.68 | Professional | None | $331.13 | $331.13 | $446.68 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $758.58 Typical High $3,801.89 | Facility | None | $398.11 | $758.58 | $3,801.89 |
Medica Setting Professional Modifier None Typical Low $302.00 Median $380.19 Typical High $6,165.95 | Professional | None | $302.00 | $380.19 | $6,165.95 |
United Setting Facility Modifier None Typical Low $478.63 Median $630.96 Typical High $977.24 | Facility | None | $478.63 | $630.96 | $977.24 |
United Setting Professional Modifier None Typical Low $275.42 Median $380.19 Typical High $575.44 | Professional | None | $275.42 | $380.19 | $575.44 |
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 $199.53 Median $208.93 Typical High $223.87 | Professional | 52 · Reduced service | $199.53 | $208.93 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $83.18 Typical High $91.20 | Professional | 53 · Discontinued | $79.43 | $83.18 | $91.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $61.66 Typical High $67.61 | Professional | 55 · Aftercare only | $58.88 | $61.66 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $41.69 Typical High $45.71 | Professional | 56 · Pre-op care only | $39.81 | $41.69 | $45.71 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $46.77 Median $46.77 Typical High $467.74 | Professional | RR · Rental | $46.77 | $46.77 | $467.74 |
Where Missouri sits
The same service costs 4.6 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· 27th of 51
$468
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.