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 $1,096.48 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,096.48 | $1,621.81 | $1,621.81 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,621.81 Typical High $2,290.87 | Professional | None | $1,096.48 | $1,621.81 | $2,290.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $11,220.18 | Facility | None | $2,454.71 | $2,454.71 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,288.25 Median $1,479.11 Typical High $1,949.84 | Professional | None | $1,288.25 | $1,479.11 | $1,949.84 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $977.24 Median $1,096.48 Typical High $1,698.24 | Professional | UE · Used equipment | $977.24 | $1,096.48 | $1,698.24 |
BCBS Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $2,454.71 | Professional | None | $1,479.11 | $1,479.11 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,479.11 | Facility | None | $1,348.96 | $1,348.96 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,348.96 | Professional | None | $977.24 | $977.24 | $1,348.96 |
Medica Setting Facility Modifier None Typical Low $1,096.48 Median $2,344.23 Typical High $11,220.18 | Facility | None | $1,096.48 | $2,344.23 | $11,220.18 |
Medica Setting Professional Modifier None Typical Low $891.25 Median $1,202.26 Typical High $12,022.64 | Professional | None | $891.25 | $1,202.26 | $12,022.64 |
United Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,202.26 Typical High $1,698.24 | Professional | None | $851.14 | $1,202.26 | $1,698.24 |
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 $549.54 Median $812.83 Typical High $1,148.15 | Professional | 52 · Reduced service | $549.54 | $812.83 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $323.59 Typical High $457.09 | Professional | 53 · Discontinued | $218.78 | $323.59 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $245.47 Typical High $338.84 | Professional | 55 · Aftercare only | $165.96 | $245.47 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $162.18 Typical High $229.09 | Professional | 56 · Pre-op care only | $109.65 | $162.18 | $229.09 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $144.54 Median $144.54 Typical High $1,445.44 | Professional | RR · Rental | $144.54 | $144.54 | $1,445.44 |
Where Missouri sits
The same service costs 2.6 times more in Montana 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· 31st of 51
$1,445
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.