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 $288.40 Median $426.58 Typical High $426.58 | Facility | None | $288.40 | $426.58 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $426.58 Typical High $602.56 | Professional | None | $288.40 | $426.58 | $602.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $3,019.95 | Facility | None | $645.65 | $645.65 | $3,019.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $354.81 Median $398.11 Typical High $524.81 | Professional | None | $354.81 | $398.11 | $524.81 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $269.15 Median $269.15 Typical High $446.68 | Professional | UE · Used equipment | $269.15 | $269.15 | $446.68 |
BCBS Kansas City Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $645.65 | Professional | None | $389.05 | $389.05 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $446.68 | Facility | None | $398.11 | $398.11 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $398.11 | Professional | None | $295.12 | $295.12 | $398.11 |
Medica Setting Facility Modifier None Typical Low $288.40 Median $630.96 Typical High $3,162.28 | Facility | None | $288.40 | $630.96 | $3,162.28 |
Medica Setting Professional Modifier None Typical Low $245.47 Median $331.13 Typical High $4,365.16 | Professional | None | $245.47 | $331.13 | $4,365.16 |
United Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $812.83 | Facility | None | $398.11 | $398.11 | $812.83 |
United Setting Professional Modifier None Typical Low $229.09 Median $316.23 Typical High $457.09 | Professional | None | $229.09 | $316.23 | $457.09 |
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 $144.54 Median $213.80 Typical High $302.00 | Professional | 52 · Reduced service | $144.54 | $213.80 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $85.11 Typical High $120.23 | Professional | 53 · Discontinued | $57.54 | $85.11 | $120.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $64.57 Typical High $91.20 | Professional | 55 · Aftercare only | $43.65 | $64.57 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $42.66 Typical High $60.26 | Professional | 56 · Pre-op care only | $28.84 | $42.66 | $60.26 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $36.31 Median $36.31 Typical High $363.08 | Professional | RR · Rental | $36.31 | $36.31 | $363.08 |
Where Missouri sits
The same service costs 3.7 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· 34th 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.