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 $1,318.26 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,318.26 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,949.84 Typical High $2,754.23 | Professional | None | $1,318.26 | $1,949.84 | $2,754.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $13,489.63 | Facility | None | $2,951.21 | $2,951.21 | $13,489.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,445.44 Median $1,778.28 Typical High $2,344.23 | Professional | None | $1,445.44 | $1,778.28 | $2,344.23 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,096.48 Median $1,122.02 Typical High $2,041.74 | Professional | UE · Used equipment | $1,096.48 | $1,122.02 | $2,041.74 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $2,951.21 | Professional | None | $1,778.28 | $1,778.28 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,905.46 | Facility | None | $1,778.28 | $1,778.28 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,778.28 | Professional | None | $1,288.25 | $1,288.25 | $1,778.28 |
Medica Setting Facility Modifier None Typical Low $1,318.26 Median $2,818.38 Typical High $12,882.50 | Facility | None | $1,318.26 | $2,818.38 | $12,882.50 |
Medica Setting Professional Modifier None Typical Low $1,000.00 Median $1,445.44 Typical High $15,488.17 | Professional | None | $1,000.00 | $1,445.44 | $15,488.17 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $1,548.82 Typical High $3,311.31 | Facility | None | $1,412.54 | $1,548.82 | $3,311.31 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,445.44 Typical High $2,041.74 | Professional | None | $954.99 | $1,445.44 | $2,041.74 |
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 $660.69 Median $977.24 Typical High $1,380.38 | Professional | 52 · Reduced service | $660.69 | $977.24 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $389.05 Typical High $549.54 | Professional | 53 · Discontinued | $263.03 | $389.05 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $295.12 Typical High $407.38 | Professional | 55 · Aftercare only | $199.53 | $295.12 | $407.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $194.98 Typical High $275.42 | Professional | 56 · Pre-op care only | $131.83 | $194.98 | $275.42 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $147.91 Median $147.91 Typical High $1,479.11 | Professional | RR · Rental | $147.91 | $147.91 | $1,479.11 |
Where Missouri sits
The same service costs 2.7 times more in Hawaii than in Maryland. 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· 29th of 51
$1,622
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.