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 |
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 $758.58 Typical High $1,047.13 | Professional | None | $691.83 | $758.58 | $1,047.13 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $524.81 Median $524.81 Typical High $912.01 | Professional | UE · Used equipment | $524.81 | $524.81 | $912.01 |
BCBS Kansas City Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $1,318.26 | Professional | None | $776.25 | $776.25 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $1,023.29 | Facility | None | $933.25 | $933.25 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $933.25 | Professional | None | $676.08 | $676.08 | $933.25 |
Medica Setting Facility Modifier None Typical Low $588.84 Median $1,230.27 Typical High $6,025.60 | Facility | None | $588.84 | $1,230.27 | $6,025.60 |
Medica Setting Professional Modifier None Typical Low $478.63 Median $645.65 Typical High $7,585.78 | Professional | None | $478.63 | $645.65 | $7,585.78 |
United Setting Facility Modifier None Typical Low $478.63 Median $575.44 Typical High $1,584.89 | Facility | None | $478.63 | $575.44 | $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 |
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 $295.12 Median $436.52 Typical High $616.60 | Professional | 52 · Reduced service | $295.12 | $436.52 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $173.78 Typical High $245.47 | Professional | 53 · Discontinued | $117.49 | $173.78 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $128.82 Typical High $181.97 | Professional | 55 · Aftercare only | $87.10 | $128.82 | $181.97 |
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 $69.18 Median $69.18 Typical High $691.83 | Professional | RR · Rental | $69.18 | $69.18 | $691.83 |
Where Missouri sits
The same service costs 2.1 times more in Wisconsin than in Washington, DC. 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· 31st of 51
$724
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.