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 $407.38 Median $602.56 Typical High $602.56 | Facility | None | $407.38 | $602.56 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $602.56 Typical High $851.14 | Professional | None | $407.38 | $602.56 | $851.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $4,265.80 | Facility | None | $912.01 | $912.01 | $4,265.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $478.63 Median $524.81 Typical High $794.33 | Professional | None | $478.63 | $524.81 | $794.33 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $363.08 Median $380.19 Typical High $630.96 | Professional | UE · Used equipment | $363.08 | $380.19 | $630.96 |
BCBS Kansas City Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $912.01 | Professional | None | $549.54 | $549.54 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $588.84 | Facility | None | $524.81 | $524.81 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $524.81 | Professional | None | $389.05 | $389.05 | $524.81 |
Medica Setting Facility Modifier None Typical Low $407.38 Median $851.14 Typical High $4,168.69 | Facility | None | $407.38 | $851.14 | $4,168.69 |
Medica Setting Professional Modifier None Typical Low $331.13 Median $457.09 Typical High $4,570.88 | Professional | None | $331.13 | $457.09 | $4,570.88 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
United Setting Professional Modifier None Typical Low $316.23 Median $446.68 Typical High $630.96 | Professional | None | $316.23 | $446.68 | $630.96 |
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 $61.66 Median $91.20 Typical High $128.82 | Professional | 55 · Aftercare only | $61.66 | $91.20 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $60.26 Typical High $85.11 | Professional | 56 · Pre-op care only | $40.74 | $60.26 | $85.11 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $51.29 Median $51.29 Typical High $512.86 | Professional | RR · Rental | $51.29 | $51.29 | $512.86 |
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· 33rd of 51
$513
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.