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 $707.95 Median $1,047.13 Typical High $1,047.13 | Facility | None | $707.95 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $1,047.13 Typical High $1,479.11 | Professional | None | $707.95 | $1,047.13 | $1,479.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $7,244.36 | Facility | None | $1,584.89 | $1,584.89 | $7,244.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $831.76 Median $954.99 Typical High $1,258.93 | Professional | None | $831.76 | $954.99 | $1,258.93 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $616.60 Median $630.96 Typical High $1,071.52 | Professional | UE · Used equipment | $616.60 | $630.96 | $1,071.52 |
BCBS Kansas City Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,584.89 | Professional | None | $933.25 | $933.25 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,174.90 | Facility | None | $1,096.48 | $1,096.48 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,096.48 | Professional | None | $812.83 | $812.83 | $1,096.48 |
Medica Setting Facility Modifier None Typical Low $707.95 Median $1,479.11 Typical High $7,244.36 | Facility | None | $707.95 | $1,479.11 | $7,244.36 |
Medica Setting Professional Modifier None Typical Low $575.44 Median $776.25 Typical High $8,128.31 | Professional | None | $575.44 | $776.25 | $8,128.31 |
United Setting Facility Modifier None Typical Low $660.69 Median $776.25 Typical High $1,862.09 | Facility | None | $660.69 | $776.25 | $1,862.09 |
United Setting Professional Modifier None Typical Low $537.03 Median $758.58 Typical High $1,096.48 | Professional | None | $537.03 | $758.58 | $1,096.48 |
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 $354.81 Median $524.81 Typical High $724.44 | Professional | 52 · Reduced service | $354.81 | $524.81 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $208.93 Typical High $295.12 | Professional | 53 · Discontinued | $141.25 | $208.93 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $154.88 Typical High $218.78 | Professional | 55 · Aftercare only | $104.71 | $154.88 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $104.71 Typical High $147.91 | Professional | 56 · Pre-op care only | $70.79 | $104.71 | $147.91 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $85.11 Median $85.11 Typical High $851.14 | Professional | RR · Rental | $85.11 | $85.11 | $851.14 |
Where Missouri sits
The same service costs 2.2 times more in Hawaii than in Florida. 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· 29th of 51
$891
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.