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 $426.58 Median $630.96 Typical High $630.96 | Facility | None | $426.58 | $630.96 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $630.96 Typical High $891.25 | Professional | None | $426.58 | $630.96 | $891.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $4,466.84 | Facility | None | $954.99 | $954.99 | $4,466.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $426.58 Median $549.54 Typical High $758.58 | Professional | None | $426.58 | $549.54 | $758.58 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $316.23 Median $338.84 Typical High $660.69 | Professional | UE · Used equipment | $316.23 | $338.84 | $660.69 |
BCBS Kansas City Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $954.99 | Professional | None | $575.44 | $575.44 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $501.19 | Facility | None | $446.68 | $446.68 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $446.68 | Professional | None | $331.13 | $331.13 | $446.68 |
Medica Setting Facility Modifier None Typical Low $389.05 Median $851.14 Typical High $3,715.35 | Facility | None | $389.05 | $851.14 | $3,715.35 |
Medica Setting Professional Modifier None Typical Low $316.23 Median $467.74 Typical High $4,677.35 | Professional | None | $316.23 | $467.74 | $4,677.35 |
United Setting Facility Modifier None Typical Low $467.74 Median $954.99 Typical High $954.99 | Facility | None | $467.74 | $954.99 | $954.99 |
United Setting Professional Modifier None Typical Low $295.12 Median $467.74 Typical High $630.96 | Professional | None | $295.12 | $467.74 | $630.96 |
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 $213.80 Median $316.23 Typical High $446.68 | Professional | 52 · Reduced service | $213.80 | $316.23 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $125.89 Typical High $177.83 | Professional | 53 · Discontinued | $85.11 | $125.89 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $95.50 Typical High $134.90 | Professional | 55 · Aftercare only | $64.57 | $95.50 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $63.10 Typical High $89.13 | Professional | 56 · Pre-op care only | $42.66 | $63.10 | $89.13 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $45.71 Median $45.71 Typical High $457.09 | Professional | RR · Rental | $45.71 | $45.71 | $457.09 |
Where Missouri sits
The same service costs 2.8 times more in Iowa 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· 24th of 51
$479
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.