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 $794.33 Median $1,174.90 Typical High $1,174.90 | Facility | None | $794.33 | $1,174.90 | $1,174.90 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $1,174.90 Typical High $1,659.59 | Professional | None | $794.33 | $1,174.90 | $1,659.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $8,128.31 | Facility | None | $1,778.28 | $1,778.28 | $8,128.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $891.25 Median $1,071.52 Typical High $1,412.54 | Professional | None | $891.25 | $1,071.52 | $1,412.54 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $676.08 Median $676.08 Typical High $1,230.27 | Professional | UE · Used equipment | $676.08 | $676.08 | $1,230.27 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,778.28 | Professional | None | $1,047.13 | $1,047.13 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,380.38 | Facility | None | $1,230.27 | $1,230.27 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,230.27 | Professional | None | $891.25 | $891.25 | $1,230.27 |
Medica Setting Facility Modifier None Typical Low $794.33 Median $1,659.59 Typical High $7,762.47 | Facility | None | $794.33 | $1,659.59 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $616.60 Median $870.96 Typical High $8,317.64 | Professional | None | $616.60 | $870.96 | $8,317.64 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,041.74 Typical High $2,041.74 | Facility | None | $851.14 | $2,041.74 | $2,041.74 |
United Setting Professional Modifier None Typical Low $575.44 Median $870.96 Typical High $1,174.90 | Professional | None | $575.44 | $870.96 | $1,174.90 |
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 $398.11 Median $588.84 Typical High $812.83 | Professional | 52 · Reduced service | $398.11 | $588.84 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $234.42 Typical High $331.13 | Professional | 53 · Discontinued | $158.49 | $234.42 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $173.78 Typical High $245.47 | Professional | 55 · Aftercare only | $117.49 | $173.78 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $117.49 Typical High $165.96 | Professional | 56 · Pre-op care only | $79.43 | $117.49 | $165.96 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $91.20 Median $91.20 Typical High $912.01 | Professional | RR · Rental | $91.20 | $91.20 | $912.01 |
Where Missouri sits
The same service costs 2.1 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· 30th of 51
$977
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.