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 $1,778.28 Median $2,630.27 Typical High $2,630.27 | Facility | None | $1,778.28 | $2,630.27 | $2,630.27 |
Aetna Setting Professional Modifier None Typical Low $1,778.28 Median $2,630.27 Typical High $3,715.35 | Professional | None | $1,778.28 | $2,630.27 | $3,715.35 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,981.07 Median $3,981.07 Typical High $18,620.87 | Facility | None | $3,981.07 | $3,981.07 | $18,620.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,949.84 Median $2,398.83 Typical High $3,235.94 | Professional | None | $1,949.84 | $2,398.83 | $3,235.94 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,479.11 Median $1,513.56 Typical High $2,754.23 | Professional | UE · Used equipment | $1,479.11 | $1,513.56 | $2,754.23 |
BCBS Kansas City Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $3,981.07 | Professional | None | $2,398.83 | $2,398.83 | $3,981.07 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,884.03 | Facility | None | $2,691.53 | $2,691.53 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $2,691.53 | Professional | None | $1,949.84 | $1,949.84 | $2,691.53 |
Medica Setting Facility Modifier None Typical Low $1,778.28 Median $3,801.89 Typical High $17,378.01 | Facility | None | $1,778.28 | $3,801.89 | $17,378.01 |
Medica Setting Professional Modifier None Typical Low $1,348.96 Median $1,949.84 Typical High $20,892.96 | Professional | None | $1,348.96 | $1,949.84 | $20,892.96 |
United Setting Facility Modifier None Typical Low $1,862.09 Median $2,187.76 Typical High $4,466.84 | Facility | None | $1,862.09 | $2,187.76 | $4,466.84 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $1,949.84 Typical High $2,754.23 | Professional | None | $1,318.26 | $1,949.84 | $2,754.23 |
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 $891.25 Median $1,318.26 Typical High $1,862.09 | Professional | 52 · Reduced service | $891.25 | $1,318.26 | $1,862.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $354.81 Median $524.81 Typical High $741.31 | Professional | 53 · Discontinued | $354.81 | $524.81 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $269.15 Median $398.11 Typical High $562.34 | Professional | 55 · Aftercare only | $269.15 | $398.11 | $562.34 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $177.83 Median $263.03 Typical High $371.54 | Professional | 56 · Pre-op care only | $177.83 | $263.03 | $371.54 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $199.53 Median $199.53 Typical High $1,995.26 | Professional | RR · Rental | $199.53 | $199.53 | $1,995.26 |
Where Missouri sits
The same service costs 2.9 times more in Hawaii than in Washington, DC. 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· 27th of 51
$2,239
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.