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 $1,023.29 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,023.29 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,513.56 Typical High $2,089.30 | Professional | None | $1,023.29 | $1,513.56 | $2,089.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $10,471.29 | Facility | None | $2,238.72 | $2,238.72 | $10,471.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,174.90 Median $1,288.25 Typical High $1,819.70 | Professional | None | $1,174.90 | $1,288.25 | $1,819.70 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $870.96 Median $870.96 Typical High $1,548.82 | Professional | UE · Used equipment | $870.96 | $870.96 | $1,548.82 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $2,238.72 | Professional | None | $1,348.96 | $1,348.96 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,348.96 | Facility | None | $1,230.27 | $1,230.27 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,230.27 | Professional | None | $891.25 | $891.25 | $1,230.27 |
Medica Setting Facility Modifier None Typical Low $1,023.29 Median $2,089.30 Typical High $10,232.93 | Facility | None | $1,023.29 | $2,089.30 | $10,232.93 |
Medica Setting Professional Modifier None Typical Low $812.83 Median $1,122.02 Typical High $12,882.50 | Professional | None | $812.83 | $1,122.02 | $12,882.50 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $1,202.26 Typical High $2,630.27 | Facility | None | $1,071.52 | $1,202.26 | $2,630.27 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,096.48 Typical High $1,513.56 | Professional | None | $758.58 | $1,096.48 | $1,513.56 |
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 $501.19 Median $741.31 Typical High $1,047.13 | Professional | 52 · Reduced service | $501.19 | $741.31 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $302.00 Typical High $426.58 | Professional | 53 · Discontinued | $204.17 | $302.00 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $223.87 Typical High $316.23 | Professional | 55 · Aftercare only | $151.36 | $223.87 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $151.36 Typical High $208.93 | Professional | 56 · Pre-op care only | $102.33 | $151.36 | $208.93 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $117.49 Median $117.49 Typical High $1,174.90 | Professional | RR · Rental | $117.49 | $117.49 | $1,174.90 |
Where Missouri sits
The same service costs 3.1 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· 34th of 51
$1,202
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.