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 $363.08 Median $537.03 Typical High $537.03 | Facility | None | $363.08 | $537.03 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $537.03 Typical High $758.58 | Professional | None | $363.08 | $537.03 | $758.58 |
Ambetter Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $3,715.35 | Facility | None | $812.83 | $812.83 | $3,715.35 |
Anthem BCBS Setting Professional Modifier None Typical Low $354.81 Median $501.19 Typical High $660.69 | Professional | None | $354.81 | $501.19 | $660.69 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $269.15 Median $309.03 Typical High $562.34 | Professional | UE · Used equipment | $269.15 | $309.03 | $562.34 |
BCBS Kansas City Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $812.83 | Professional | None | $489.78 | $489.78 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $426.58 | Facility | None | $380.19 | $380.19 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $380.19 | Professional | None | $275.42 | $275.42 | $380.19 |
Medica Setting Facility Modifier None Typical Low $331.13 Median $724.44 Typical High $3,311.31 | Facility | None | $331.13 | $724.44 | $3,311.31 |
Medica Setting Professional Modifier None Typical Low $263.03 Median $398.11 Typical High $4,677.35 | Professional | None | $263.03 | $398.11 | $4,677.35 |
United Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
United Setting Professional Modifier None Typical Low $245.47 Median $398.11 Typical High $537.03 | Professional | None | $245.47 | $398.11 | $537.03 |
3 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 55 · Aftercare only Typical Low $54.95 Median $81.28 Typical High $114.82 | Professional | 55 · Aftercare only | $54.95 | $81.28 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $53.70 Typical High $75.86 | Professional | 56 · Pre-op care only | $36.31 | $53.70 | $75.86 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $41.69 Median $41.69 Typical High $426.58 | Professional | RR · Rental | $41.69 | $41.69 | $426.58 |
Where Missouri sits
The same service costs 3.7 times more in Alaska 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· 25th of 51
$437
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.