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 $1,659.59 Median $2,454.71 Typical High $2,454.71 | Facility | None | $1,659.59 | $2,454.71 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $1,659.59 Median $2,454.71 Typical High $3,467.37 | Professional | None | $1,659.59 | $2,454.71 | $3,467.37 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $17,378.01 | Facility | None | $3,715.35 | $3,715.35 | $17,378.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,995.26 Median $2,238.72 Typical High $3,019.95 | Professional | None | $1,995.26 | $2,238.72 | $3,019.95 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,479.11 Median $1,479.11 Typical High $2,570.40 | Professional | UE · Used equipment | $1,479.11 | $1,479.11 | $2,570.40 |
BCBS Kansas City Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $3,715.35 | Professional | None | $2,238.72 | $2,238.72 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,754.23 | Facility | None | $2,454.71 | $2,454.71 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,454.71 | Professional | None | $1,819.70 | $1,819.70 | $2,454.71 |
Medica Setting Facility Modifier None Typical Low $1,659.59 Median $3,630.78 Typical High $17,782.79 | Facility | None | $1,659.59 | $3,630.78 | $17,782.79 |
Medica Setting Professional Modifier None Typical Low $1,380.38 Median $1,862.09 Typical High $22,387.21 | Professional | None | $1,380.38 | $1,862.09 | $22,387.21 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $2,290.87 Typical High $4,466.84 | Facility | None | $2,187.76 | $2,290.87 | $4,466.84 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $1,819.70 Typical High $2,630.27 | Professional | None | $1,288.25 | $1,819.70 | $2,630.27 |
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 $831.76 Median $1,230.27 Typical High $1,737.80 | Professional | 52 · Reduced service | $831.76 | $1,230.27 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $331.13 Median $489.78 Typical High $691.83 | Professional | 53 · Discontinued | $331.13 | $489.78 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $371.54 Typical High $524.81 | Professional | 55 · Aftercare only | $251.19 | $371.54 | $524.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $165.96 Median $245.47 Typical High $346.74 | Professional | 56 · Pre-op care only | $165.96 | $245.47 | $346.74 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $199.53 Median $199.53 Typical High $1,995.26 | Professional | RR · Rental | $199.53 | $199.53 | $1,995.26 |
Where Missouri sits
The same service costs 3.2 times more in Hawaii than in Washington, DC. 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
$2,138
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.