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 $1,698.24 Median $2,511.89 Typical High $2,511.89 | Facility | None | $1,698.24 | $2,511.89 | $2,511.89 |
Aetna Setting Professional Modifier None Typical Low $1,698.24 Median $2,511.89 Typical High $3,548.13 | Professional | None | $1,698.24 | $2,511.89 | $3,548.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $17,782.79 | Facility | None | $3,801.89 | $3,801.89 | $17,782.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,041.74 Median $2,344.23 Typical High $3,090.30 | Professional | None | $2,041.74 | $2,344.23 | $3,090.30 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,513.56 Median $1,548.82 Typical High $2,630.27 | Professional | UE · Used equipment | $1,513.56 | $1,548.82 | $2,630.27 |
BCBS Kansas City Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $3,801.89 | Professional | None | $2,290.87 | $2,290.87 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,951.21 | Facility | None | $2,691.53 | $2,691.53 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $2,691.53 | Professional | None | $1,949.84 | $1,949.84 | $2,691.53 |
Medica Setting Facility Modifier None Typical Low $1,698.24 Median $3,715.35 Typical High $17,782.79 | Facility | None | $1,698.24 | $3,715.35 | $17,782.79 |
Medica Setting Professional Modifier None Typical Low $1,412.54 Median $1,905.46 Typical High $19,054.61 | Professional | None | $1,412.54 | $1,905.46 | $19,054.61 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $4,570.88 Typical High $4,570.88 | Facility | None | $1,819.70 | $4,570.88 | $4,570.88 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $1,862.09 Typical High $2,691.53 | Professional | None | $1,318.26 | $1,862.09 | $2,691.53 |
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 $257.04 Median $380.19 Typical High $537.03 | Professional | 55 · Aftercare only | $257.04 | $380.19 | $537.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $251.19 Typical High $354.81 | Professional | 56 · Pre-op care only | $169.82 | $251.19 | $354.81 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $204.17 Median $204.17 Typical High $2,041.74 | Professional | RR · Rental | $204.17 | $204.17 | $2,041.74 |
Where Missouri sits
The same service costs 2.1 times more in Hawaii than in New Jersey. 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· 30th of 51
$2,188
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.