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 $2,187.76 Median $3,235.94 Typical High $3,235.94 | Facility | None | $2,187.76 | $3,235.94 | $3,235.94 |
Aetna Setting Professional Modifier None Typical Low $2,187.76 Median $3,235.94 Typical High $4,570.88 | Professional | None | $2,187.76 | $3,235.94 | $4,570.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $22,908.68 | Facility | None | $4,897.79 | $4,897.79 | $22,908.68 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,884.03 Median $3,019.95 Typical High $3,981.07 | Professional | None | $2,884.03 | $3,019.95 | $3,981.07 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,089.30 Median $2,238.72 Typical High $3,388.44 | Professional | UE · Used equipment | $2,089.30 | $2,238.72 | $3,388.44 |
BCBS Kansas City Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $4,897.79 | Professional | None | $2,951.21 | $2,951.21 | $4,897.79 |
Cigna Setting Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,801.89 | Facility | None | $3,548.13 | $3,548.13 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $3,548.13 | Professional | None | $2,630.27 | $2,630.27 | $3,548.13 |
Medica Setting Facility Modifier None Typical Low $2,290.87 Median $4,677.35 Typical High $25,703.96 | Facility | None | $2,290.87 | $4,677.35 | $25,703.96 |
Medica Setting Professional Modifier None Typical Low $1,995.26 Median $2,630.27 Typical High $44,668.36 | Professional | None | $1,995.26 | $2,630.27 | $44,668.36 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $4,365.16 Typical High $6,606.93 | Facility | None | $3,235.94 | $4,365.16 | $6,606.93 |
United Setting Professional Modifier None Typical Low $1,819.70 Median $2,398.83 Typical High $3,715.35 | Professional | None | $1,819.70 | $2,398.83 | $3,715.35 |
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 $1,096.48 Median $1,621.81 Typical High $2,290.87 | Professional | 52 · Reduced service | $1,096.48 | $1,621.81 | $2,290.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $446.68 Median $660.69 Typical High $912.01 | Professional | 53 · Discontinued | $446.68 | $660.69 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $331.13 Median $489.78 Typical High $691.83 | Professional | 55 · Aftercare only | $331.13 | $489.78 | $691.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $218.78 Median $323.59 Typical High $457.09 | Professional | 56 · Pre-op care only | $218.78 | $323.59 | $457.09 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $295.12 Median $295.12 Typical High $2,951.21 | Professional | RR · Rental | $295.12 | $295.12 | $2,951.21 |
Where Missouri sits
The same service costs 4.3 times more in Hawaii than in Pennsylvania. 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· 34th of 51
$2,951
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.