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 $588.84 Median $870.96 Typical High $870.96 | Facility | None | $588.84 | $870.96 | $870.96 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $870.96 Typical High $1,230.27 | Professional | None | $588.84 | $870.96 | $1,230.27 |
Ambetter Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None | $977.24 | $977.24 | $977.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $6,025.60 | Facility | None | $1,318.26 | $1,318.26 | $6,025.60 |
Anthem BCBS Setting Professional Modifier None Typical Low $691.83 Median $870.96 Typical High $1,096.48 | Professional | None | $691.83 | $870.96 | $1,096.48 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $524.81 Median $588.84 Typical High $912.01 | Professional | UE · Used equipment | $524.81 | $588.84 | $912.01 |
BCBS Kansas City Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $1,318.26 | Professional | None | $794.33 | $794.33 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $794.33 | Facility | None | $724.44 | $724.44 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $724.44 | Professional | None | $524.81 | $524.81 | $724.44 |
Medica Setting Facility Modifier None Typical Low $588.84 Median $1,258.93 Typical High $6,025.60 | Facility | None | $588.84 | $1,258.93 | $6,025.60 |
Medica Setting Professional Modifier None Typical Low $478.63 Median $645.65 Typical High $6,606.93 | Professional | None | $478.63 | $645.65 | $6,606.93 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
United Setting Professional Modifier None Typical Low $457.09 Median $645.65 Typical High $912.01 | Professional | None | $457.09 | $645.65 | $912.01 |
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 $89.13 Median $131.83 Typical High $186.21 | Professional | 55 · Aftercare only | $89.13 | $131.83 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $87.10 Typical High $123.03 | Professional | 56 · Pre-op care only | $58.88 | $87.10 | $123.03 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $77.62 Median $77.62 Typical High $794.33 | Professional | RR · Rental | $77.62 | $77.62 | $794.33 |
Where Missouri sits
The same service costs 2.4 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· 25th of 51
$794
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.