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 $2,238.72 Median $3,311.31 Typical High $3,311.31 | Facility | None | $2,238.72 | $3,311.31 | $3,311.31 |
Aetna Setting Professional Modifier None Typical Low $2,238.72 Median $3,311.31 Typical High $4,677.35 | Professional | None | $2,238.72 | $3,311.31 | $4,677.35 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $23,442.29 | Facility | None | $5,011.87 | $5,011.87 | $23,442.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,691.53 Median $2,951.21 Typical High $4,073.80 | Professional | None | $2,691.53 | $2,951.21 | $4,073.80 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,995.26 Median $2,041.74 Typical High $3,467.37 | Professional | UE · Used equipment | $1,995.26 | $2,041.74 | $3,467.37 |
BCBS Kansas City Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $5,011.87 | Professional | None | $3,019.95 | $3,019.95 | $5,011.87 |
Cigna Setting Facility Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $3,090.30 | Facility | None | $2,754.23 | $2,754.23 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,754.23 | Professional | None | $2,041.74 | $2,041.74 | $2,754.23 |
Medica Setting Facility Modifier None Typical Low $2,238.72 Median $4,677.35 Typical High $23,442.29 | Facility | None | $2,238.72 | $4,677.35 | $23,442.29 |
Medica Setting Professional Modifier None Typical Low $1,862.09 Median $2,511.89 Typical High $29,512.09 | Professional | None | $1,862.09 | $2,511.89 | $29,512.09 |
United Setting Facility Modifier None Typical Low $2,454.71 Median $2,511.89 Typical High $6,025.60 | Facility | None | $2,454.71 | $2,511.89 | $6,025.60 |
United Setting Professional Modifier None Typical Low $1,737.80 Median $2,454.71 Typical High $3,548.13 | Professional | None | $1,737.80 | $2,454.71 | $3,548.13 |
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 $1,122.02 Median $1,659.59 Typical High $2,344.23 | Professional | 52 · Reduced service | $1,122.02 | $1,659.59 | $2,344.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $457.09 Median $676.08 Typical High $933.25 | Professional | 53 · Discontinued | $457.09 | $676.08 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $338.84 Median $501.19 Typical High $707.95 | Professional | 55 · Aftercare only | $338.84 | $501.19 | $707.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $223.87 Median $331.13 Typical High $467.74 | Professional | 56 · Pre-op care only | $223.87 | $331.13 | $467.74 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $269.15 Median $269.15 Typical High $2,691.53 | Professional | RR · Rental | $269.15 | $269.15 | $2,691.53 |
Where Missouri sits
The same service costs 2.8 times more in Wyoming 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· 30th 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.