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 $3,311.31 Median $5,011.87 Typical High $5,011.87 | Facility | None | $3,311.31 | $5,011.87 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $3,311.31 Median $5,011.87 Typical High $6,918.31 | Professional | None | $3,311.31 | $5,011.87 | $6,918.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $7,413.10 Median $7,413.10 Typical High $34,673.69 | Facility | None | $7,413.10 | $7,413.10 | $34,673.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $3,715.35 Median $4,570.88 Typical High $6,025.60 | Professional | None | $3,715.35 | $4,570.88 | $6,025.60 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,754.23 Median $2,818.38 Typical High $5,128.61 | Professional | UE · Used equipment | $2,754.23 | $2,818.38 | $5,128.61 |
BCBS Kansas City Setting Professional Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $7,413.10 | Professional | None | $4,466.84 | $4,466.84 | $7,413.10 |
Cigna Setting Facility Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $5,248.07 | Facility | None | $4,897.79 | $4,897.79 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $4,897.79 | Professional | None | $3,548.13 | $3,548.13 | $4,897.79 |
Medica Setting Facility Modifier None Typical Low $3,311.31 Median $6,918.31 Typical High $33,113.11 | Facility | None | $3,311.31 | $6,918.31 | $33,113.11 |
Medica Setting Professional Modifier None Typical Low $2,570.40 Median $3,630.78 Typical High $46,773.51 | Professional | None | $2,570.40 | $3,630.78 | $46,773.51 |
United Setting Facility Modifier None Typical Low $4,073.80 Median $5,370.32 Typical High $8,317.64 | Facility | None | $4,073.80 | $5,370.32 | $8,317.64 |
United Setting Professional Modifier None Typical Low $2,454.71 Median $3,630.78 Typical High $4,897.79 | Professional | None | $2,454.71 | $3,630.78 | $4,897.79 |
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 $1,659.59 Median $2,454.71 Typical High $3,467.37 | Professional | 52 · Reduced service | $1,659.59 | $2,454.71 | $3,467.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $676.08 Median $1,000.00 Typical High $1,380.38 | Professional | 53 · Discontinued | $676.08 | $1,000.00 | $1,380.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $501.19 Median $741.31 Typical High $1,047.13 | Professional | 55 · Aftercare only | $501.19 | $741.31 | $1,047.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $331.13 Median $501.19 Typical High $691.83 | Professional | 56 · Pre-op care only | $331.13 | $501.19 | $691.83 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $380.19 Median $380.19 Typical High $3,801.89 | Professional | RR · Rental | $380.19 | $380.19 | $3,801.89 |
Where Missouri sits
The same service costs 3.5 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· 27th of 51
$4,169
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.