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 $281.84 Median $416.87 Typical High $416.87 | Facility | None | $281.84 | $416.87 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $416.87 Typical High $588.84 | Professional | None | $281.84 | $416.87 | $588.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $2,951.21 | Facility | None | $630.96 | $630.96 | $2,951.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $371.54 Median $457.09 Typical High $524.81 | Professional | None | $371.54 | $457.09 | $524.81 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $263.03 Median $346.74 Typical High $436.52 | Professional | UE · Used equipment | $263.03 | $346.74 | $436.52 |
BCBS Kansas City Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $630.96 | Professional | None | $380.19 | $380.19 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $436.52 | Facility | None | $389.05 | $389.05 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $389.05 | Professional | None | $281.84 | $281.84 | $389.05 |
Medica Setting Facility Modifier None Typical Low $323.59 Median $616.60 Typical High $3,235.94 | Facility | None | $323.59 | $616.60 | $3,235.94 |
Medica Setting Professional Modifier None Typical Low $257.04 Median $338.84 Typical High $3,715.35 | Professional | None | $257.04 | $338.84 | $3,715.35 |
United Setting Facility Modifier None Typical Low $281.84 Median $331.13 Typical High $851.14 | Facility | None | $281.84 | $331.13 | $851.14 |
United Setting Professional Modifier None Typical Low $239.88 Median $309.03 Typical High $478.63 | Professional | None | $239.88 | $309.03 | $478.63 |
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 $141.25 Median $208.93 Typical High $295.12 | Professional | 52 · Reduced service | $141.25 | $208.93 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $85.11 Typical High $117.49 | Professional | 53 · Discontinued | $57.54 | $85.11 | $117.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $63.10 Typical High $89.13 | Professional | 55 · Aftercare only | $42.66 | $63.10 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $41.69 Typical High $58.88 | Professional | 56 · Pre-op care only | $28.18 | $41.69 | $58.88 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $45.71 Median $45.71 Typical High $457.09 | Professional | RR · Rental | $45.71 | $45.71 | $457.09 |
Where Missouri sits
The same service costs 2.6 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· 36th of 51
$389
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.