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 $416.87 Median $616.60 Typical High $616.60 | Facility | None | $416.87 | $616.60 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $616.60 Typical High $870.96 | Professional | None | $416.87 | $616.60 | $870.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $4,365.16 | Facility | None | $933.25 | $933.25 | $4,365.16 |
Anthem BCBS Setting Professional Modifier None Typical Low $524.81 Median $549.54 Typical High $758.58 | Professional | None | $524.81 | $549.54 | $758.58 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $389.05 Median $398.11 Typical High $645.65 | Professional | UE · Used equipment | $389.05 | $398.11 | $645.65 |
BCBS Kansas City Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $933.25 | Professional | None | $562.34 | $562.34 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $676.08 | Facility | None | $616.60 | $616.60 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $616.60 | Professional | None | $446.68 | $446.68 | $616.60 |
Medica Setting Facility Modifier None Typical Low $416.87 Median $891.25 Typical High $4,677.35 | Facility | None | $416.87 | $891.25 | $4,677.35 |
Medica Setting Professional Modifier None Typical Low $363.08 Median $489.78 Typical High $6,606.93 | Professional | None | $363.08 | $489.78 | $6,606.93 |
United Setting Facility Modifier None Typical Low $588.84 Median $707.95 Typical High $1,202.26 | Facility | None | $588.84 | $707.95 | $1,202.26 |
United Setting Professional Modifier None Typical Low $338.84 Median $457.09 Typical High $676.08 | Professional | None | $338.84 | $457.09 | $676.08 |
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 $208.93 Median $309.03 Typical High $436.52 | Professional | 52 · Reduced service | $208.93 | $309.03 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $123.03 Typical High $173.78 | Professional | 53 · Discontinued | $83.18 | $123.03 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $93.33 Typical High $131.83 | Professional | 55 · Aftercare only | $63.10 | $93.33 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $61.66 Typical High $87.10 | Professional | 56 · Pre-op care only | $41.69 | $61.66 | $87.10 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $53.70 Median $53.70 Typical High $537.03 | Professional | RR · Rental | $53.70 | $53.70 | $537.03 |
Where Missouri sits
The same service costs 3.7 times more in Hawaii than in Tennessee. 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
$550
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.