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 $776.25 Median $1,148.15 Typical High $1,148.15 | Facility | None | $776.25 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $1,148.15 Typical High $1,621.81 | Professional | None | $776.25 | $1,148.15 | $1,621.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $8,128.31 | Facility | None | $1,737.80 | $1,737.80 | $8,128.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,000.00 Median $1,071.52 Typical High $1,412.54 | Professional | None | $1,000.00 | $1,071.52 | $1,412.54 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $741.31 Median $758.58 Typical High $1,202.26 | Professional | UE · Used equipment | $741.31 | $758.58 | $1,202.26 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,737.80 | Professional | None | $1,047.13 | $1,047.13 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,412.54 | Facility | None | $1,318.26 | $1,318.26 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,318.26 | Professional | None | $977.24 | $977.24 | $1,318.26 |
Medica Setting Facility Modifier None Typical Low $812.83 Median $1,698.24 Typical High $8,511.38 | Facility | None | $812.83 | $1,698.24 | $8,511.38 |
Medica Setting Professional Modifier None Typical Low $691.83 Median $912.01 Typical High $10,964.78 | Professional | None | $691.83 | $912.01 | $10,964.78 |
United Setting Facility Modifier None Typical Low $645.65 Median $831.76 Typical High $2,238.72 | Facility | None | $645.65 | $831.76 | $2,238.72 |
United Setting Professional Modifier None Typical Low $645.65 Median $851.14 Typical High $1,258.93 | Professional | None | $645.65 | $851.14 | $1,258.93 |
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 $389.05 Median $575.44 Typical High $812.83 | Professional | 52 · Reduced service | $389.05 | $575.44 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $234.42 Typical High $323.59 | Professional | 53 · Discontinued | $158.49 | $234.42 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $173.78 Typical High $245.47 | Professional | 55 · Aftercare only | $117.49 | $173.78 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $114.82 Typical High $162.18 | Professional | 56 · Pre-op care only | $77.62 | $114.82 | $162.18 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $100.00 Median $100.00 Typical High $1,000.00 | Professional | RR · Rental | $100.00 | $100.00 | $1,000.00 |
Where Missouri sits
The same service costs 2.5 times more in Montana than in Pennsylvania. 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· 30th of 51
$1,047
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.