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 $575.44 Median $575.44 Typical High $660.69 | Facility | None | $575.44 | $575.44 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $602.56 Typical High $660.69 | Professional | None | $575.44 | $602.56 | $660.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $5,128.61 | Facility | None | $1,122.02 | $1,122.02 | $5,128.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $562.34 Median $676.08 Typical High $933.25 | Professional | None | $562.34 | $676.08 | $933.25 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $446.68 Median $457.09 Typical High $794.33 | Professional | UE · Used equipment | $446.68 | $457.09 | $794.33 |
BCBS Kansas City Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $1,122.02 | Professional | None | $660.69 | $660.69 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $812.83 | Facility | None | $758.58 | $758.58 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $758.58 | Professional | None | $549.54 | $549.54 | $758.58 |
Medica Setting Facility Modifier None Typical Low $575.44 Median $1,096.48 Typical High $5,128.61 | Facility | None | $575.44 | $1,096.48 | $5,128.61 |
Medica Setting Professional Modifier None Typical Low $407.38 Median $549.54 Typical High $6,165.95 | Professional | None | $407.38 | $549.54 | $6,165.95 |
United Setting Facility Modifier None Typical Low $575.44 Median $645.65 Typical High $1,318.26 | Facility | None | $575.44 | $645.65 | $1,318.26 |
United Setting Professional Modifier None Typical Low $371.54 Median $537.03 Typical High $831.76 | Professional | None | $371.54 | $537.03 | $831.76 |
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 $288.40 Median $302.00 Typical High $323.59 | Professional | 52 · Reduced service | $288.40 | $302.00 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $120.23 Typical High $131.83 | Professional | 53 · Discontinued | $114.82 | $120.23 | $131.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $89.13 Typical High $97.72 | Professional | 55 · Aftercare only | $85.11 | $89.13 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $60.26 Typical High $66.07 | Professional | 56 · Pre-op care only | $57.54 | $60.26 | $66.07 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $58.88 Median $58.88 Typical High $588.84 | Professional | RR · Rental | $58.88 | $58.88 | $588.84 |
Where Missouri sits
The same service costs 2.6 times more in Hawaii than in Arizona. 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· 32nd of 51
$589
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.