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 $616.60 Median $912.01 Typical High $912.01 | Facility | None | $616.60 | $912.01 | $912.01 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $912.01 Typical High $1,288.25 | Professional | None | $616.60 | $912.01 | $1,288.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $6,309.57 | Facility | None | $1,380.38 | $1,380.38 | $6,309.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $776.25 Median $831.76 Typical High $1,096.48 | Professional | None | $776.25 | $831.76 | $1,096.48 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $575.44 Median $616.60 Typical High $954.99 | Professional | UE · Used equipment | $575.44 | $616.60 | $954.99 |
BCBS Kansas City Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,380.38 | Professional | None | $831.76 | $831.76 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $933.25 | Facility | None | $870.96 | $870.96 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $870.96 | Professional | None | $630.96 | $630.96 | $870.96 |
Medica Setting Facility Modifier None Typical Low $616.60 Median $1,318.26 Typical High $7,413.10 | Facility | None | $616.60 | $1,318.26 | $7,413.10 |
Medica Setting Professional Modifier None Typical Low $562.34 Median $724.44 Typical High $10,000.00 | Professional | None | $562.34 | $724.44 | $10,000.00 |
United Setting Facility Modifier None Typical Low $891.25 Median $1,513.56 Typical High $1,819.70 | Facility | None | $891.25 | $1,513.56 | $1,819.70 |
United Setting Professional Modifier None Typical Low $512.86 Median $676.08 Typical High $1,023.29 | Professional | None | $512.86 | $676.08 | $1,023.29 |
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 $309.03 Median $457.09 Typical High $645.65 | Professional | 52 · Reduced service | $309.03 | $457.09 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $181.97 Typical High $257.04 | Professional | 53 · Discontinued | $123.03 | $181.97 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $134.90 Typical High $190.55 | Professional | 55 · Aftercare only | $91.20 | $134.90 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $91.20 Typical High $128.82 | Professional | 56 · Pre-op care only | $61.66 | $91.20 | $128.82 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $81.28 Median $81.28 Typical High $812.83 | Professional | RR · Rental | $81.28 | $81.28 | $812.83 |
Where Missouri sits
The same service costs 4.0 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· 38th of 51
$813
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.