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 $588.84 Median $870.96 Typical High $870.96 | Facility | None | $588.84 | $870.96 | $870.96 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $870.96 Typical High $1,230.27 | Professional | None | $588.84 | $870.96 | $1,230.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $6,165.95 | Facility | None | $1,318.26 | $1,318.26 | $6,165.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $645.65 Median $794.33 Typical High $1,071.52 | Professional | None | $645.65 | $794.33 | $1,071.52 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $489.78 Median $489.78 Typical High $912.01 | Professional | UE · Used equipment | $489.78 | $489.78 | $912.01 |
BCBS Kansas City Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $1,318.26 | Professional | None | $794.33 | $794.33 | $1,318.26 |
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 $645.65 Median $645.65 Typical High $870.96 | Professional | None | $645.65 | $645.65 | $870.96 |
Medica Setting Facility Modifier None Typical Low $588.84 Median $1,202.26 Typical High $5,623.41 | Facility | None | $588.84 | $1,202.26 | $5,623.41 |
Medica Setting Professional Modifier None Typical Low $446.68 Median $645.65 Typical High $6,309.57 | Professional | None | $446.68 | $645.65 | $6,309.57 |
United Setting Facility Modifier None Typical Low $616.60 Median $645.65 Typical High $1,479.11 | Facility | None | $616.60 | $645.65 | $1,479.11 |
United Setting Professional Modifier None Typical Low $426.58 Median $645.65 Typical High $870.96 | Professional | None | $426.58 | $645.65 | $870.96 |
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 $295.12 Median $436.52 Typical High $616.60 | Professional | 52 · Reduced service | $295.12 | $436.52 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $173.78 Typical High $245.47 | Professional | 53 · Discontinued | $117.49 | $173.78 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $131.83 Typical High $186.21 | Professional | 55 · Aftercare only | $89.13 | $131.83 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $87.10 Typical High $123.03 | Professional | 56 · Pre-op care only | $58.88 | $87.10 | $123.03 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $66.07 Median $66.07 Typical High $660.69 | Professional | RR · Rental | $66.07 | $66.07 | $660.69 |
Where Missouri sits
The same service costs 2.3 times more in Hawaii than in Pennsylvania. 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· 27th of 51
$741
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.