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 $1,071.52 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,071.52 | $1,584.89 | $1,584.89 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,584.89 Typical High $2,238.72 | Professional | None | $1,071.52 | $1,584.89 | $2,238.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $11,220.18 | Facility | None | $2,398.83 | $2,398.83 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,258.93 Median $1,445.44 Typical High $1,949.84 | Professional | None | $1,258.93 | $1,445.44 | $1,949.84 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $933.25 Median $954.99 Typical High $1,659.59 | Professional | UE · Used equipment | $933.25 | $954.99 | $1,659.59 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $2,398.83 | Professional | None | $1,445.44 | $1,445.44 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,737.80 | Facility | None | $1,621.81 | $1,621.81 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,621.81 | Professional | None | $1,174.90 | $1,174.90 | $1,621.81 |
Medica Setting Facility Modifier None Typical Low $1,071.52 Median $2,290.87 Typical High $11,220.18 | Facility | None | $1,071.52 | $2,290.87 | $11,220.18 |
Medica Setting Professional Modifier None Typical Low $870.96 Median $1,230.27 Typical High $13,803.84 | Professional | None | $870.96 | $1,230.27 | $13,803.84 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,380.38 Typical High $2,818.38 | Facility | None | $776.25 | $1,380.38 | $2,818.38 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,174.90 Typical High $1,659.59 | Professional | None | $812.83 | $1,174.90 | $1,659.59 |
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 $537.03 Median $794.33 Typical High $1,122.02 | Professional | 52 · Reduced service | $537.03 | $794.33 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $316.23 Typical High $446.68 | Professional | 53 · Discontinued | $213.80 | $316.23 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $239.88 Typical High $338.84 | Professional | 55 · Aftercare only | $162.18 | $239.88 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $158.49 Typical High $223.87 | Professional | 56 · Pre-op care only | $107.15 | $158.49 | $223.87 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $128.82 Median $128.82 Typical High $1,288.25 | Professional | RR · Rental | $128.82 | $128.82 | $1,288.25 |
Where Missouri sits
The same service costs 2.7 times more in Hawaii than in Pennsylvania. 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· 31st of 51
$1,380
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.