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 $2,187.76 Median $3,235.94 Typical High $3,235.94 | Facility | None | $2,187.76 | $3,235.94 | $3,235.94 |
Aetna Setting Professional Modifier None Typical Low $2,187.76 Median $3,235.94 Typical High $4,570.88 | Professional | None | $2,187.76 | $3,235.94 | $4,570.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $22,387.21 | Facility | None | $4,897.79 | $4,897.79 | $22,387.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,570.40 Median $3,019.95 Typical High $3,981.07 | Professional | None | $2,570.40 | $3,019.95 | $3,981.07 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,949.84 Median $2,187.76 Typical High $3,388.44 | Professional | UE · Used equipment | $1,949.84 | $2,187.76 | $3,388.44 |
BCBS Kansas City Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $4,897.79 | Professional | None | $2,951.21 | $2,951.21 | $4,897.79 |
Cigna Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $3,235.94 | Facility | None | $2,884.03 | $2,884.03 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,884.03 | Professional | None | $2,089.30 | $2,089.30 | $2,884.03 |
Medica Setting Facility Modifier None Typical Low $2,187.76 Median $4,677.35 Typical High $22,387.21 | Facility | None | $2,187.76 | $4,677.35 | $22,387.21 |
Medica Setting Professional Modifier None Typical Low $1,778.28 Median $2,398.83 Typical High $24,547.09 | Professional | None | $1,778.28 | $2,398.83 | $24,547.09 |
United Setting Facility Modifier None Typical Low $5,888.44 Median $5,888.44 Typical High $5,888.44 | Facility | None | $5,888.44 | $5,888.44 | $5,888.44 |
United Setting Professional Modifier None Typical Low $1,698.24 Median $2,398.83 Typical High $3,388.44 | Professional | None | $1,698.24 | $2,398.83 | $3,388.44 |
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 $331.13 Median $489.78 Typical High $691.83 | Professional | 55 · Aftercare only | $331.13 | $489.78 | $691.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $218.78 Median $323.59 Typical High $457.09 | Professional | 56 · Pre-op care only | $218.78 | $323.59 | $457.09 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $288.40 Median $288.40 Typical High $2,884.03 | Professional | RR · Rental | $288.40 | $288.40 | $2,884.03 |
Where Missouri sits
The same service costs 2.4 times more in Montana 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· 33rd of 51
$2,884
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.