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 $275.42 Median $407.38 Typical High $407.38 | Facility | None | $275.42 | $407.38 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $407.38 Typical High $575.44 | Professional | None | $275.42 | $407.38 | $575.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $2,884.03 | Facility | None | $616.60 | $616.60 | $2,884.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $346.74 Median $380.19 Typical High $501.19 | Professional | None | $346.74 | $380.19 | $501.19 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $263.03 Median $263.03 Typical High $426.58 | Professional | UE · Used equipment | $263.03 | $263.03 | $426.58 |
BCBS Kansas City Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $616.60 | Professional | None | $371.54 | $371.54 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $537.03 | Facility | None | $501.19 | $501.19 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $501.19 | Professional | None | $363.08 | $363.08 | $501.19 |
Medica Setting Facility Modifier None Typical Low $275.42 Median $602.56 Typical High $3,090.30 | Facility | None | $275.42 | $602.56 | $3,090.30 |
Medica Setting Professional Modifier None Typical Low $239.88 Median $323.59 Typical High $3,630.78 | Professional | None | $239.88 | $323.59 | $3,630.78 |
United Setting Facility Modifier None Typical Low $229.09 Median $288.40 Typical High $794.33 | Facility | None | $229.09 | $288.40 | $794.33 |
United Setting Professional Modifier None Typical Low $223.87 Median $302.00 Typical High $446.68 | Professional | None | $223.87 | $302.00 | $446.68 |
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 $138.04 Median $204.17 Typical High $288.40 | Professional | 52 · Reduced service | $138.04 | $204.17 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $81.28 Typical High $114.82 | Professional | 53 · Discontinued | $54.95 | $81.28 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $61.66 Typical High $87.10 | Professional | 55 · Aftercare only | $41.69 | $61.66 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $40.74 Typical High $57.54 | Professional | 56 · Pre-op care only | $27.54 | $40.74 | $57.54 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $35.48 Median $35.48 Typical High $354.81 | Professional | RR · Rental | $35.48 | $35.48 | $354.81 |
Where Missouri sits
The same service costs 2.3 times more in Wisconsin 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· 32nd of 51
$372
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.