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 $2,041.74 Median $3,019.95 Typical High $3,019.95 | Facility | None | $2,041.74 | $3,019.95 | $3,019.95 |
Aetna Setting Professional Modifier None Typical Low $2,041.74 Median $3,019.95 Typical High $4,265.80 | Professional | None | $2,041.74 | $3,019.95 | $4,265.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,570.88 Median $4,570.88 Typical High $21,379.62 | Facility | None | $4,570.88 | $4,570.88 | $21,379.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,238.72 Median $2,818.38 Typical High $3,715.35 | Professional | None | $2,238.72 | $2,818.38 | $3,715.35 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,659.59 Median $1,698.24 Typical High $3,162.28 | Professional | UE · Used equipment | $1,659.59 | $1,698.24 | $3,162.28 |
BCBS Kansas City Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $4,570.88 | Professional | None | $2,754.23 | $2,754.23 | $4,570.88 |
Cigna Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $3,311.31 | Facility | None | $2,951.21 | $2,951.21 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,951.21 | Professional | None | $2,187.76 | $2,187.76 | $2,951.21 |
Medica Setting Facility Modifier None Typical Low $2,041.74 Median $4,265.80 Typical High $19,054.61 | Facility | None | $2,041.74 | $4,265.80 | $19,054.61 |
Medica Setting Professional Modifier None Typical Low $1,548.82 Median $2,238.72 Typical High $23,988.33 | Professional | None | $1,548.82 | $2,238.72 | $23,988.33 |
United Setting Facility Modifier None Typical Low $2,041.74 Median $2,951.21 Typical High $5,011.87 | Facility | None | $2,041.74 | $2,951.21 | $5,011.87 |
United Setting Professional Modifier None Typical Low $1,513.56 Median $2,238.72 Typical High $3,019.95 | Professional | None | $1,513.56 | $2,238.72 | $3,019.95 |
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 $1,023.29 Median $1,513.56 Typical High $2,137.96 | Professional | 52 · Reduced service | $1,023.29 | $1,513.56 | $2,137.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $616.60 Typical High $851.14 | Professional | 53 · Discontinued | $416.87 | $616.60 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $457.09 Typical High $645.65 | Professional | 55 · Aftercare only | $309.03 | $457.09 | $645.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $204.17 Median $302.00 Typical High $426.58 | Professional | 56 · Pre-op care only | $204.17 | $302.00 | $426.58 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $223.87 Median $223.87 Typical High $2,238.72 | Professional | RR · Rental | $223.87 | $223.87 | $2,238.72 |
Where Missouri sits
The same service costs 2.5 times more in Montana 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· 26th of 51
$2,570
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.