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 $1,122.02 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,122.02 | $1,659.59 | $1,659.59 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,659.59 Typical High $2,344.23 | Professional | None | $1,122.02 | $1,659.59 | $2,344.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $11,481.54 | Facility | None | $2,511.89 | $2,511.89 | $11,481.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,230.27 Median $1,513.56 Typical High $1,995.26 | Professional | None | $1,230.27 | $1,513.56 | $1,995.26 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $912.01 Median $933.25 Typical High $1,737.80 | Professional | UE · Used equipment | $912.01 | $933.25 | $1,737.80 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $2,511.89 | Professional | None | $1,479.11 | $1,479.11 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,348.96 | Facility | None | $1,258.93 | $1,258.93 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,258.93 | Professional | None | $933.25 | $933.25 | $1,258.93 |
Medica Setting Facility Modifier None Typical Low $1,122.02 Median $2,344.23 Typical High $10,964.78 | Facility | None | $1,122.02 | $2,344.23 | $10,964.78 |
Medica Setting Professional Modifier None Typical Low $851.14 Median $1,230.27 Typical High $14,454.40 | Professional | None | $851.14 | $1,230.27 | $14,454.40 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $1,584.89 Typical High $2,754.23 | Facility | None | $1,348.96 | $1,584.89 | $2,754.23 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,230.27 Typical High $1,737.80 | Professional | None | $812.83 | $1,230.27 | $1,737.80 |
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 $562.34 Median $831.76 Typical High $1,174.90 | Professional | 52 · Reduced service | $562.34 | $831.76 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $331.13 Typical High $467.74 | Professional | 53 · Discontinued | $223.87 | $331.13 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $245.47 Typical High $346.74 | Professional | 55 · Aftercare only | $165.96 | $245.47 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $165.96 Typical High $234.42 | Professional | 56 · Pre-op care only | $112.20 | $165.96 | $234.42 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $123.03 Median $123.03 Typical High $1,230.27 | Professional | RR · Rental | $123.03 | $123.03 | $1,230.27 |
Where Missouri sits
The same service costs 3.8 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· 25th of 51
$1,349
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.