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 $1,698.24 Median $1,698.24 Typical High $1,949.84 | Facility | None | $1,698.24 | $1,698.24 | $1,949.84 |
Aetna Setting Professional Modifier None Typical Low $1,698.24 Median $1,778.28 Typical High $1,995.26 | Professional | None | $1,698.24 | $1,778.28 | $1,995.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $15,135.61 | Facility | None | $3,311.31 | $3,311.31 | $15,135.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,862.09 Median $1,995.26 Typical High $2,630.27 | Professional | None | $1,862.09 | $1,995.26 | $2,630.27 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,412.54 Median $1,479.11 Typical High $2,290.87 | Professional | UE · Used equipment | $1,412.54 | $1,479.11 | $2,290.87 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $3,311.31 | Professional | None | $1,995.26 | $1,995.26 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,137.96 | Facility | None | $1,995.26 | $1,995.26 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,995.26 | Professional | None | $1,479.11 | $1,479.11 | $1,995.26 |
Medica Setting Facility Modifier None Typical Low $1,737.80 Median $3,235.94 Typical High $17,378.01 | Facility | None | $1,737.80 | $3,235.94 | $17,378.01 |
Medica Setting Professional Modifier None Typical Low $1,348.96 Median $1,621.81 Typical High $25,703.96 | Professional | None | $1,348.96 | $1,621.81 | $25,703.96 |
United Setting Facility Modifier None Typical Low $2,137.96 Median $2,951.21 Typical High $4,365.16 | Facility | None | $2,137.96 | $2,951.21 | $4,365.16 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $1,621.81 Typical High $2,454.71 | Professional | None | $1,230.27 | $1,621.81 | $2,454.71 |
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 $851.14 Median $891.25 Typical High $977.24 | Professional | 52 · Reduced service | $851.14 | $891.25 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $354.81 Typical High $398.11 | Professional | 53 · Discontinued | $338.84 | $354.81 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $269.15 Typical High $295.12 | Professional | 55 · Aftercare only | $251.19 | $269.15 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $177.83 Typical High $199.53 | Professional | 56 · Pre-op care only | $169.82 | $177.83 | $199.53 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $194.98 Median $194.98 Typical High $1,949.84 | Professional | RR · Rental | $194.98 | $194.98 | $1,949.84 |
Where Missouri sits
The same service costs 4.4 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· 37th of 51
$1,950
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.