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 $2,041.74 Median $3,019.95 Typical High $3,019.95 | Facility | None | $2,041.74 | $3,019.95 | $3,019.95 |
Aetna Setting Professional Modifier None Typical Low $2,041.74 Median $3,019.95 Typical High $4,265.80 | Professional | None | $2,041.74 | $3,019.95 | $4,265.80 |
Ambetter Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | None | $3,019.95 | $3,019.95 | $3,019.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,570.88 Median $4,570.88 Typical High $20,892.96 | Facility | None | $4,570.88 | $4,570.88 | $20,892.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,398.83 Median $2,754.23 Typical High $3,630.78 | Professional | None | $2,398.83 | $2,754.23 | $3,630.78 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,819.70 Median $2,041.74 Typical High $3,162.28 | Professional | UE · Used equipment | $1,819.70 | $2,041.74 | $3,162.28 |
BCBS Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $4,570.88 | Professional | None | $2,754.23 | $2,754.23 | $4,570.88 |
Cigna Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,754.23 | Facility | None | $2,511.89 | $2,511.89 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,511.89 | Professional | None | $1,819.70 | $1,819.70 | $2,511.89 |
Medica Setting Facility Modifier None Typical Low $2,041.74 Median $4,365.16 Typical High $20,892.96 | Facility | None | $2,041.74 | $4,365.16 | $20,892.96 |
Medica Setting Professional Modifier None Typical Low $1,659.59 Median $2,238.72 Typical High $22,387.21 | Professional | None | $1,659.59 | $2,238.72 | $22,387.21 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $5,495.41 Typical High $5,495.41 | Facility | None | $2,187.76 | $5,495.41 | $5,495.41 |
United Setting Professional Modifier None Typical Low $1,548.82 Median $2,238.72 Typical High $3,162.28 | Professional | None | $1,548.82 | $2,238.72 | $3,162.28 |
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 $1,023.29 Median $1,513.56 Typical High $2,137.96 | Professional | 52 · Reduced service | $1,023.29 | $1,513.56 | $2,137.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $407.38 Median $602.56 Typical High $851.14 | Professional | 53 · Discontinued | $407.38 | $602.56 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $457.09 Typical High $630.96 | Professional | 55 · Aftercare only | $309.03 | $457.09 | $630.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $204.17 Median $302.00 Typical High $426.58 | Professional | 56 · Pre-op care only | $204.17 | $302.00 | $426.58 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $269.15 Median $269.15 Typical High $2,754.23 | Professional | RR · Rental | $269.15 | $269.15 | $2,754.23 |
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· 26th of 51
$2,754
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.