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 $1,412.54 Median $2,089.30 Typical High $2,089.30 | Facility | None | $1,412.54 | $2,089.30 | $2,089.30 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $2,089.30 Typical High $2,951.21 | Professional | None | $1,412.54 | $2,089.30 | $2,951.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $14,791.08 | Facility | None | $3,162.28 | $3,162.28 | $14,791.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,737.80 Median $1,949.84 Typical High $2,570.40 | Professional | None | $1,737.80 | $1,949.84 | $2,570.40 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,318.26 Median $1,318.26 Typical High $2,187.76 | Professional | UE · Used equipment | $1,318.26 | $1,318.26 | $2,187.76 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $3,162.28 | Professional | None | $1,905.46 | $1,905.46 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,995.26 | Facility | None | $1,819.70 | $1,819.70 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,819.70 | Professional | None | $1,318.26 | $1,318.26 | $1,819.70 |
Medica Setting Facility Modifier None Typical Low $1,412.54 Median $3,162.28 Typical High $15,488.17 | Facility | None | $1,412.54 | $3,162.28 | $15,488.17 |
Medica Setting Professional Modifier None Typical Low $1,202.26 Median $1,659.59 Typical High $19,054.61 | Professional | None | $1,202.26 | $1,659.59 | $19,054.61 |
United Setting Facility Modifier None Typical Low $1,778.28 Median $2,041.74 Typical High $3,981.07 | Facility | None | $1,778.28 | $2,041.74 | $3,981.07 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,548.82 Typical High $2,238.72 | Professional | None | $1,148.15 | $1,548.82 | $2,238.72 |
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 $707.95 Median $1,047.13 Typical High $1,479.11 | Professional | 52 · Reduced service | $707.95 | $1,047.13 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $426.58 Typical High $588.84 | Professional | 53 · Discontinued | $288.40 | $426.58 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $316.23 Typical High $446.68 | Professional | 55 · Aftercare only | $213.80 | $316.23 | $446.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $208.93 Typical High $295.12 | Professional | 56 · Pre-op care only | $141.25 | $208.93 | $295.12 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $177.83 Median $177.83 Typical High $1,778.28 | Professional | RR · Rental | $177.83 | $177.83 | $1,778.28 |
Where Missouri sits
The same service costs 3.1 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· 29th of 51
$1,820
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.