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 $1,513.56 Median $2,238.72 Typical High $2,238.72 | Facility | None | $1,513.56 | $2,238.72 | $2,238.72 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $2,238.72 Typical High $3,162.28 | Professional | None | $1,513.56 | $2,238.72 | $3,162.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $15,848.93 | Facility | None | $3,388.44 | $3,388.44 | $15,848.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,905.46 Median $2,089.30 Typical High $2,754.23 | Professional | None | $1,905.46 | $2,089.30 | $2,754.23 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,445.44 Median $1,445.44 Typical High $2,344.23 | Professional | UE · Used equipment | $1,445.44 | $1,445.44 | $2,344.23 |
BCBS Kansas City Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $3,388.44 | Professional | None | $2,041.74 | $2,041.74 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,630.27 | Facility | None | $2,454.71 | $2,454.71 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,454.71 | Professional | None | $1,819.70 | $1,819.70 | $2,454.71 |
Medica Setting Facility Modifier None Typical Low $1,513.56 Median $3,311.31 Typical High $16,982.44 | Facility | None | $1,513.56 | $3,311.31 | $16,982.44 |
Medica Setting Professional Modifier None Typical Low $1,318.26 Median $1,819.70 Typical High $19,054.61 | Professional | None | $1,318.26 | $1,819.70 | $19,054.61 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $1,949.84 Typical High $4,365.16 | Facility | None | $1,698.24 | $1,949.84 | $4,365.16 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $1,659.59 Typical High $2,454.71 | Professional | None | $1,230.27 | $1,659.59 | $2,454.71 |
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 $758.58 Median $1,122.02 Typical High $1,584.89 | Professional | 52 · Reduced service | $758.58 | $1,122.02 | $1,584.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $457.09 Typical High $630.96 | Professional | 53 · Discontinued | $309.03 | $457.09 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $338.84 Typical High $478.63 | Professional | 55 · Aftercare only | $229.09 | $338.84 | $478.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $223.87 Typical High $316.23 | Professional | 56 · Pre-op care only | $151.36 | $223.87 | $316.23 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $194.98 Median $194.98 Typical High $1,949.84 | Professional | RR · Rental | $194.98 | $194.98 | $1,949.84 |
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· 32nd of 51
$1,995
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.