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 $1,737.80 Median $2,570.40 Typical High $2,570.40 | Facility | None | $1,737.80 | $2,570.40 | $2,570.40 |
Aetna Setting Professional Modifier None Typical Low $1,737.80 Median $2,570.40 Typical High $3,630.78 | Professional | None | $1,737.80 | $2,570.40 | $3,630.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $17,782.79 | Facility | None | $3,890.45 | $3,890.45 | $17,782.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,041.74 Median $2,089.30 Typical High $3,548.13 | Professional | None | $2,041.74 | $2,089.30 | $3,548.13 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,548.82 Median $1,548.82 Typical High $2,691.53 | Professional | UE · Used equipment | $1,548.82 | $1,548.82 | $2,691.53 |
BCBS Kansas City Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $3,890.45 | Professional | None | $2,344.23 | $2,344.23 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,754.23 | Facility | None | $2,454.71 | $2,454.71 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $2,454.71 | Professional | None | $1,778.28 | $1,778.28 | $2,454.71 |
Medica Setting Facility Modifier None Typical Low $1,737.80 Median $3,715.35 Typical High $17,782.79 | Facility | None | $1,737.80 | $3,715.35 | $17,782.79 |
Medica Setting Professional Modifier None Typical Low $1,412.54 Median $1,905.46 Typical High $19,054.61 | Professional | None | $1,412.54 | $1,905.46 | $19,054.61 |
United Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Facility | None | $4,677.35 | $4,677.35 | $4,677.35 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $1,905.46 Typical High $2,691.53 | Professional | None | $1,318.26 | $1,905.46 | $2,691.53 |
3 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 55 · Aftercare only Typical Low $257.04 Median $380.19 Typical High $537.03 | Professional | 55 · Aftercare only | $257.04 | $380.19 | $537.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $173.78 Median $257.04 Typical High $363.08 | Professional | 56 · Pre-op care only | $173.78 | $257.04 | $363.08 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $208.93 Median $208.93 Typical High $2,089.30 | Professional | RR · Rental | $208.93 | $208.93 | $2,089.30 |
Where Missouri sits
The same service costs 2.3 times more in Montana 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· 35th of 51
$2,089
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.