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 $933.25 Median $933.25 Typical High $1,071.52 | Facility | None | $933.25 | $933.25 | $1,071.52 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $977.24 Typical High $1,071.52 | Professional | None | $933.25 | $977.24 | $1,071.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $8,317.64 | Facility | None | $1,819.70 | $1,819.70 | $8,317.64 |
Anthem BCBS Setting Professional Modifier None Typical Low $831.76 Median $1,047.13 Typical High $1,445.44 | Professional | None | $831.76 | $1,047.13 | $1,445.44 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $630.96 Median $645.65 Typical High $1,258.93 | Professional | UE · Used equipment | $630.96 | $645.65 | $1,258.93 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,819.70 | Professional | None | $1,096.48 | $1,096.48 | $1,819.70 |
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 $851.14 Median $1,737.80 Typical High $7,413.10 | Facility | None | $851.14 | $1,737.80 | $7,413.10 |
Medica Setting Professional Modifier None Typical Low $588.84 Median $891.25 Typical High $8,317.64 | Professional | None | $588.84 | $891.25 | $8,317.64 |
United Setting Facility Modifier None Typical Low $707.95 Median $870.96 Typical High $1,949.84 | Facility | None | $707.95 | $870.96 | $1,949.84 |
United Setting Professional Modifier None Typical Low $588.84 Median $851.14 Typical High $1,318.26 | Professional | None | $588.84 | $851.14 | $1,318.26 |
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 $467.74 Median $489.78 Typical High $537.03 | Professional | 52 · Reduced service | $467.74 | $489.78 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $194.98 Typical High $213.80 | Professional | 53 · Discontinued | $186.21 | $194.98 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $147.91 Typical High $162.18 | Professional | 55 · Aftercare only | $141.25 | $147.91 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $97.72 Typical High $107.15 | Professional | 56 · Pre-op care only | $93.33 | $97.72 | $107.15 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $85.11 Median $85.11 Typical High $851.14 | Professional | RR · Rental | $85.11 | $85.11 | $851.14 |
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· 26th of 51
$891
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.