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 $1,380.38 Median $2,041.74 Typical High $2,041.74 | Facility | None | $1,380.38 | $2,041.74 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $2,041.74 Typical High $2,884.03 | Professional | None | $1,380.38 | $2,041.74 | $2,884.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $14,454.40 | Facility | None | $3,090.30 | $3,090.30 | $14,454.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,698.24 Median $1,862.09 Typical High $2,511.89 | Professional | None | $1,698.24 | $1,862.09 | $2,511.89 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,288.25 Median $1,288.25 Typical High $2,137.96 | Professional | UE · Used equipment | $1,288.25 | $1,288.25 | $2,137.96 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $3,090.30 | Professional | None | $1,862.09 | $1,862.09 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,187.76 | Facility | None | $2,041.74 | $2,041.74 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $2,041.74 | Professional | None | $1,513.56 | $1,513.56 | $2,041.74 |
Medica Setting Facility Modifier None Typical Low $1,380.38 Median $2,951.21 Typical High $15,135.61 | Facility | None | $1,380.38 | $2,951.21 | $15,135.61 |
Medica Setting Professional Modifier None Typical Low $1,174.90 Median $1,621.81 Typical High $19,054.61 | Professional | None | $1,174.90 | $1,621.81 | $19,054.61 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $1,949.84 Typical High $3,890.45 | Facility | None | $1,905.46 | $1,949.84 | $3,890.45 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,513.56 Typical High $2,187.76 | Professional | None | $1,122.02 | $1,513.56 | $2,187.76 |
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 $691.83 Median $1,023.29 Typical High $1,445.44 | Professional | 52 · Reduced service | $691.83 | $1,023.29 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $407.38 Typical High $575.44 | Professional | 53 · Discontinued | $275.42 | $407.38 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $309.03 Typical High $436.52 | Professional | 55 · Aftercare only | $208.93 | $309.03 | $436.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $204.17 Typical High $288.40 | Professional | 56 · Pre-op care only | $138.04 | $204.17 | $288.40 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $169.82 Median $169.82 Typical High $1,698.24 | Professional | RR · Rental | $169.82 | $169.82 | $1,698.24 |
Where Missouri sits
The same service costs 3.1 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· 34th of 51
$1,778
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.