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 $1,513.56 Median $2,238.72 Typical High $2,238.72 | Facility | None | $1,513.56 | $2,238.72 | $2,238.72 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $2,238.72 Typical High $3,162.28 | Professional | None | $1,513.56 | $2,238.72 | $3,162.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $15,848.93 | Facility | None | $3,388.44 | $3,388.44 | $15,848.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,862.09 Median $2,041.74 Typical High $2,754.23 | Professional | None | $1,862.09 | $2,041.74 | $2,754.23 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,380.38 Median $1,412.54 Typical High $2,344.23 | Professional | UE · Used equipment | $1,380.38 | $1,412.54 | $2,344.23 |
BCBS Kansas City Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $3,388.44 | Professional | None | $2,041.74 | $2,041.74 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,754.23 | Facility | None | $2,570.40 | $2,570.40 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,570.40 | Professional | None | $1,862.09 | $1,862.09 | $2,570.40 |
Medica Setting Facility Modifier None Typical Low $1,548.82 Median $3,311.31 Typical High $16,218.10 | Facility | None | $1,548.82 | $3,311.31 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $1,288.25 Median $1,737.80 Typical High $17,378.01 | Professional | None | $1,288.25 | $1,737.80 | $17,378.01 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $1,659.59 Typical High $4,168.69 | Facility | None | $1,288.25 | $1,659.59 | $4,168.69 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,659.59 Typical High $2,398.83 | Professional | None | $1,202.26 | $1,659.59 | $2,398.83 |
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 $758.58 Median $1,122.02 Typical High $1,584.89 | Professional | 52 · Reduced service | $758.58 | $1,122.02 | $1,584.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $446.68 Typical High $630.96 | Professional | 53 · Discontinued | $302.00 | $446.68 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $338.84 Typical High $478.63 | Professional | 55 · Aftercare only | $229.09 | $338.84 | $478.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $223.87 Typical High $316.23 | Professional | 56 · Pre-op care only | $151.36 | $223.87 | $316.23 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $186.21 Median $186.21 Typical High $1,862.09 | Professional | RR · Rental | $186.21 | $186.21 | $1,862.09 |
Where Missouri sits
The same service costs 2.4 times more in Wisconsin than in Washington, DC. 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· 32nd of 51
$1,995
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.