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 $1,445.44 Median $2,137.96 Typical High $2,137.96 | Facility | None | $1,445.44 | $2,137.96 | $2,137.96 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $2,137.96 Typical High $2,951.21 | Professional | None | $1,445.44 | $2,137.96 | $2,951.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $14,791.08 | Facility | None | $3,162.28 | $3,162.28 | $14,791.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,698.24 Median $1,862.09 Typical High $2,570.40 | Professional | None | $1,698.24 | $1,862.09 | $2,570.40 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,288.25 Median $1,348.96 Typical High $2,187.76 | Professional | UE · Used equipment | $1,288.25 | $1,348.96 | $2,187.76 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $3,162.28 | Professional | None | $1,905.46 | $1,905.46 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,949.84 | Facility | None | $1,778.28 | $1,778.28 | $1,949.84 |
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 $1,445.44 Median $3,090.30 Typical High $14,791.08 | Facility | None | $1,445.44 | $3,090.30 | $14,791.08 |
Medica Setting Professional Modifier None Typical Low $1,174.90 Median $1,584.89 Typical High $18,197.01 | Professional | None | $1,174.90 | $1,584.89 | $18,197.01 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $1,862.09 Typical High $3,890.45 | Facility | None | $1,230.27 | $1,862.09 | $3,890.45 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $1,548.82 Typical High $2,238.72 | Professional | None | $1,096.48 | $1,548.82 | $2,238.72 |
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 $707.95 Median $1,047.13 Typical High $1,479.11 | Professional | 52 · Reduced service | $707.95 | $1,047.13 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $426.58 Typical High $602.56 | Professional | 53 · Discontinued | $288.40 | $426.58 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $316.23 Typical High $446.68 | Professional | 55 · Aftercare only | $213.80 | $316.23 | $446.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $213.80 Typical High $295.12 | Professional | 56 · Pre-op care only | $144.54 | $213.80 | $295.12 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $181.97 Median $181.97 Typical High $1,819.70 | Professional | RR · Rental | $181.97 | $181.97 | $1,819.70 |
Where Missouri sits
The same service costs 3.2 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
$1,862
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.