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 $1,230.27 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,230.27 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,819.70 Typical High $2,570.40 | Professional | None | $1,230.27 | $1,819.70 | $2,570.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $12,882.50 | Facility | None | $2,754.23 | $2,754.23 | $12,882.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,479.11 Median $1,659.59 Typical High $2,238.72 | Professional | None | $1,479.11 | $1,659.59 | $2,238.72 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,096.48 Median $1,122.02 Typical High $1,905.46 | Professional | UE · Used equipment | $1,096.48 | $1,122.02 | $1,905.46 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,754.23 | Professional | None | $1,659.59 | $1,659.59 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,621.81 | Facility | None | $1,513.56 | $1,513.56 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,513.56 | Professional | None | $1,122.02 | $1,122.02 | $1,513.56 |
Medica Setting Facility Modifier None Typical Low $1,230.27 Median $2,570.40 Typical High $12,882.50 | Facility | None | $1,230.27 | $2,570.40 | $12,882.50 |
Medica Setting Professional Modifier None Typical Low $1,023.29 Median $1,445.44 Typical High $15,848.93 | Professional | None | $1,023.29 | $1,445.44 | $15,848.93 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $1,659.59 Typical High $3,311.31 | Facility | None | $1,621.81 | $1,659.59 | $3,311.31 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,348.96 Typical High $1,905.46 | Professional | None | $954.99 | $1,348.96 | $1,905.46 |
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 $616.60 Median $912.01 Typical High $1,288.25 | Professional | 52 · Reduced service | $616.60 | $912.01 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $363.08 Typical High $512.86 | Professional | 53 · Discontinued | $245.47 | $363.08 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $275.42 Typical High $389.05 | Professional | 55 · Aftercare only | $186.21 | $275.42 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $181.97 Typical High $257.04 | Professional | 56 · Pre-op care only | $123.03 | $181.97 | $257.04 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $147.91 Median $147.91 Typical High $1,479.11 | Professional | RR · Rental | $147.91 | $147.91 | $1,479.11 |
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· 28th of 51
$1,549
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.