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 $199.53 Median $295.12 Typical High $295.12 | Facility | None | $199.53 | $295.12 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $295.12 Typical High $416.87 | Professional | None | $199.53 | $295.12 | $416.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $2,041.74 | Facility | None | $446.68 | $446.68 | $2,041.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $257.04 Median $269.15 Typical High $363.08 | Professional | None | $257.04 | $269.15 | $363.08 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $186.21 Median $199.53 Typical High $309.03 | Professional | UE · Used equipment | $186.21 | $199.53 | $309.03 |
BCBS Kansas City Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $446.68 | Professional | None | $269.15 | $269.15 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $302.00 | Facility | None | $275.42 | $275.42 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $275.42 | Professional | None | $199.53 | $199.53 | $275.42 |
Medica Setting Facility Modifier None Typical Low $199.53 Median $436.52 Typical High $2,344.23 | Facility | None | $199.53 | $436.52 | $2,344.23 |
Medica Setting Professional Modifier None Typical Low $181.97 Median $245.47 Typical High $2,884.03 | Professional | None | $181.97 | $245.47 | $2,884.03 |
United Setting Facility Modifier None Typical Low $190.55 Median $229.09 Typical High $588.84 | Facility | None | $190.55 | $229.09 | $588.84 |
United Setting Professional Modifier None Typical Low $165.96 Median $218.78 Typical High $331.13 | Professional | None | $165.96 | $218.78 | $331.13 |
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 $100.00 Median $147.91 Typical High $208.93 | Professional | 52 · Reduced service | $100.00 | $147.91 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $58.88 Typical High $83.18 | Professional | 53 · Discontinued | $39.81 | $58.88 | $83.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $44.67 Typical High $63.10 | Professional | 55 · Aftercare only | $30.20 | $44.67 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $29.51 Typical High $41.69 | Professional | 56 · Pre-op care only | $19.95 | $29.51 | $41.69 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $26.30 Median $26.30 Typical High $263.03 | Professional | RR · Rental | $26.30 | $26.30 | $263.03 |
Where Missouri sits
The same service costs 2.5 times more in Hawaii than in Florida. 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· 41st of 51
$263
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.