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 $933.25 Median $1,380.38 Typical High $1,380.38 | Facility | None | $933.25 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $1,380.38 Typical High $1,949.84 | Professional | None | $933.25 | $1,380.38 | $1,949.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $9,549.93 | Facility | None | $2,089.30 | $2,089.30 | $9,549.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,096.48 Median $1,258.93 Typical High $1,659.59 | Professional | None | $1,096.48 | $1,258.93 | $1,659.59 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $812.83 Median $831.76 Typical High $1,412.54 | Professional | UE · Used equipment | $812.83 | $831.76 | $1,412.54 |
BCBS Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $2,089.30 | Professional | None | $1,230.27 | $1,230.27 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,412.54 | Facility | None | $1,318.26 | $1,318.26 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,318.26 | Professional | None | $954.99 | $954.99 | $1,318.26 |
Medica Setting Facility Modifier None Typical Low $933.25 Median $1,995.26 Typical High $9,549.93 | Facility | None | $933.25 | $1,995.26 | $9,549.93 |
Medica Setting Professional Modifier None Typical Low $758.58 Median $1,023.29 Typical High $14,454.40 | Professional | None | $758.58 | $1,023.29 | $14,454.40 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $2,454.71 Typical High $2,454.71 | Facility | None | $1,000.00 | $2,454.71 | $2,454.71 |
United Setting Professional Modifier None Typical Low $707.95 Median $1,000.00 Typical High $1,445.44 | Professional | None | $707.95 | $1,000.00 | $1,445.44 |
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 $467.74 Median $691.83 Typical High $954.99 | Professional | 52 · Reduced service | $467.74 | $691.83 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $275.42 Typical High $389.05 | Professional | 53 · Discontinued | $186.21 | $275.42 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $204.17 Typical High $288.40 | Professional | 55 · Aftercare only | $138.04 | $204.17 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $138.04 Typical High $194.98 | Professional | 56 · Pre-op care only | $93.33 | $138.04 | $194.98 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $112.20 Median $112.20 Typical High $1,122.02 | Professional | RR · Rental | $112.20 | $112.20 | $1,122.02 |
Where Missouri sits
The same service costs 3.0 times more in Kansas 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· 32nd of 51
$1,175
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.