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 $1,230.27 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,230.27 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,819.70 Typical High $2,570.40 | Professional | None | $1,230.27 | $1,819.70 | $2,570.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $12,882.50 | Facility | None | $2,754.23 | $2,754.23 | $12,882.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,318.26 Median $1,584.89 Typical High $2,187.76 | Professional | None | $1,318.26 | $1,584.89 | $2,187.76 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $977.24 Median $977.24 Typical High $1,905.46 | Professional | UE · Used equipment | $977.24 | $977.24 | $1,905.46 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,754.23 | Professional | None | $1,659.59 | $1,659.59 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,778.28 | Facility | None | $1,584.89 | $1,584.89 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,584.89 | Professional | None | $1,174.90 | $1,174.90 | $1,584.89 |
Medica Setting Facility Modifier None Typical Low $1,202.26 Median $2,570.40 Typical High $11,481.54 | Facility | None | $1,202.26 | $2,570.40 | $11,481.54 |
Medica Setting Professional Modifier None Typical Low $912.01 Median $1,348.96 Typical High $13,803.84 | Professional | None | $912.01 | $1,348.96 | $13,803.84 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $1,445.44 Typical High $2,951.21 | Facility | None | $1,258.93 | $1,445.44 | $2,951.21 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,348.96 Typical High $1,905.46 | Professional | None | $891.25 | $1,348.96 | $1,905.46 |
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 $616.60 Median $912.01 Typical High $1,288.25 | Professional | 52 · Reduced service | $616.60 | $912.01 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $363.08 Typical High $512.86 | Professional | 53 · Discontinued | $245.47 | $363.08 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $275.42 Typical High $389.05 | Professional | 55 · Aftercare only | $186.21 | $275.42 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $181.97 Typical High $257.04 | Professional | 56 · Pre-op care only | $123.03 | $181.97 | $257.04 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $131.83 Median $131.83 Typical High $1,318.26 | Professional | RR · Rental | $131.83 | $131.83 | $1,318.26 |
Where Missouri sits
The same service costs 2.7 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· 31st of 51
$1,413
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.