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 $2,137.96 Median $3,162.28 Typical High $3,162.28 | Facility | None | $2,137.96 | $3,162.28 | $3,162.28 |
Aetna Setting Professional Modifier None Typical Low $2,137.96 Median $3,162.28 Typical High $4,466.84 | Professional | None | $2,137.96 | $3,162.28 | $4,466.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $21,877.62 | Facility | None | $4,786.30 | $4,786.30 | $21,877.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,454.71 Median $2,818.38 Typical High $3,981.07 | Professional | None | $2,454.71 | $2,818.38 | $3,981.07 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,041.74 Median $2,290.87 Typical High $3,467.37 | Professional | UE · Used equipment | $2,041.74 | $2,290.87 | $3,467.37 |
BCBS Kansas City Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $4,786.30 | Professional | None | $2,884.03 | $2,884.03 | $4,786.30 |
Cigna Setting Facility Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,311.31 | Facility | None | $3,019.95 | $3,019.95 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $3,019.95 | Professional | None | $2,187.76 | $2,187.76 | $3,019.95 |
Medica Setting Facility Modifier None Typical Low $2,570.40 Median $4,365.16 Typical High $20,892.96 | Facility | None | $2,570.40 | $4,365.16 | $20,892.96 |
Medica Setting Professional Modifier None Typical Low $1,659.59 Median $2,344.23 Typical High $26,302.68 | Professional | None | $1,659.59 | $2,344.23 | $26,302.68 |
United Setting Facility Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $5,370.32 | Facility | None | $5,370.32 | $5,370.32 | $5,370.32 |
United Setting Professional Modifier None Typical Low $1,548.82 Median $2,344.23 Typical High $3,388.44 | Professional | None | $1,548.82 | $2,344.23 | $3,388.44 |
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 $1,071.52 Median $1,584.89 Typical High $2,238.72 | Professional | 52 · Reduced service | $1,071.52 | $1,584.89 | $2,238.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $426.58 Median $630.96 Typical High $891.25 | Professional | 53 · Discontinued | $426.58 | $630.96 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $323.59 Median $478.63 Typical High $676.08 | Professional | 55 · Aftercare only | $323.59 | $478.63 | $676.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $213.80 Median $316.23 Typical High $446.68 | Professional | 56 · Pre-op care only | $213.80 | $316.23 | $446.68 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $302.00 Median $302.00 Typical High $3,019.95 | Professional | RR · Rental | $302.00 | $302.00 | $3,019.95 |
Where Missouri sits
The same service costs 2.4 times more in Hawaii than in West Virginia. 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· 38th of 51
$2,754
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.