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 $724.44 Median $1,071.52 Typical High $1,071.52 | Facility | None | $724.44 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $1,071.52 Typical High $1,513.56 | Professional | None | $724.44 | $1,071.52 | $1,513.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $7,413.10 | Facility | None | $1,621.81 | $1,621.81 | $7,413.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $851.14 Median $954.99 Typical High $1,380.38 | Professional | None | $851.14 | $954.99 | $1,380.38 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $645.65 Median $707.95 Typical High $1,122.02 | Professional | UE · Used equipment | $645.65 | $707.95 | $1,122.02 |
BCBS Kansas City Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,621.81 | Professional | None | $977.24 | $977.24 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,202.26 | Facility | None | $1,122.02 | $1,122.02 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,122.02 | Professional | None | $812.83 | $812.83 | $1,122.02 |
Medica Setting Facility Modifier None Typical Low $724.44 Median $1,548.82 Typical High $7,413.10 | Facility | None | $724.44 | $1,548.82 | $7,413.10 |
Medica Setting Professional Modifier None Typical Low $588.84 Median $794.33 Typical High $7,943.28 | Professional | None | $588.84 | $794.33 | $7,943.28 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
United Setting Professional Modifier None Typical Low $549.54 Median $794.33 Typical High $1,122.02 | Professional | None | $549.54 | $794.33 | $1,122.02 |
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 $107.15 Median $158.49 Typical High $223.87 | Professional | 55 · Aftercare only | $107.15 | $158.49 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $107.15 Typical High $151.36 | Professional | 56 · Pre-op care only | $72.44 | $107.15 | $151.36 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $95.50 Median $95.50 Typical High $954.99 | Professional | RR · Rental | $95.50 | $95.50 | $954.99 |
Where Missouri sits
The same service costs 2.1 times more in Montana than in West Virginia. 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
$955
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.