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 $1,548.82 Median $2,290.87 Typical High $2,290.87 | Facility | None | $1,548.82 | $2,290.87 | $2,290.87 |
Aetna Setting Professional Modifier None Typical Low $1,548.82 Median $2,290.87 Typical High $3,235.94 | Professional | None | $1,548.82 | $2,290.87 | $3,235.94 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $16,218.10 | Facility | None | $3,467.37 | $3,467.37 | $16,218.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,698.24 Median $2,089.30 Typical High $2,818.38 | Professional | None | $1,698.24 | $2,089.30 | $2,818.38 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,288.25 Median $1,318.26 Typical High $2,398.83 | Professional | UE · Used equipment | $1,288.25 | $1,318.26 | $2,398.83 |
BCBS Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $3,467.37 | Professional | None | $2,089.30 | $2,089.30 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,905.46 | Facility | None | $1,778.28 | $1,778.28 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,778.28 | Professional | None | $1,288.25 | $1,288.25 | $1,778.28 |
Medica Setting Facility Modifier None Typical Low $1,548.82 Median $3,311.31 Typical High $15,135.61 | Facility | None | $1,548.82 | $3,311.31 | $15,135.61 |
Medica Setting Professional Modifier None Typical Low $1,174.90 Median $1,698.24 Typical High $17,782.79 | Professional | None | $1,174.90 | $1,698.24 | $17,782.79 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $1,862.09 Typical High $3,890.45 | Facility | None | $1,621.81 | $1,862.09 | $3,890.45 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,698.24 Typical High $2,398.83 | Professional | None | $1,122.02 | $1,698.24 | $2,398.83 |
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 $776.25 Median $1,148.15 Typical High $1,621.81 | Professional | 52 · Reduced service | $776.25 | $1,148.15 | $1,621.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $457.09 Typical High $645.65 | Professional | 53 · Discontinued | $309.03 | $457.09 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $234.42 Median $346.74 Typical High $489.78 | Professional | 55 · Aftercare only | $234.42 | $346.74 | $489.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $154.88 Median $229.09 Typical High $323.59 | Professional | 56 · Pre-op care only | $154.88 | $229.09 | $323.59 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $173.78 Median $173.78 Typical High $1,737.80 | Professional | RR · Rental | $173.78 | $173.78 | $1,737.80 |
Where Missouri sits
The same service costs 3.2 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· 25th of 51
$1,905
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.