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 $1,047.13 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,047.13 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,548.82 Typical High $2,187.76 | Professional | None | $1,047.13 | $1,548.82 | $2,187.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $10,715.19 | Facility | None | $2,344.23 | $2,344.23 | $10,715.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,023.29 Median $1,380.38 Typical High $1,862.09 | Professional | None | $1,023.29 | $1,380.38 | $1,862.09 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $776.25 Median $851.14 Typical High $1,621.81 | Professional | UE · Used equipment | $776.25 | $851.14 | $1,621.81 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $2,344.23 | Professional | None | $1,412.54 | $1,412.54 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,584.89 | Facility | None | $1,479.11 | $1,479.11 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,479.11 | Professional | None | $1,071.52 | $1,071.52 | $1,479.11 |
Medica Setting Facility Modifier None Typical Low $954.99 Median $1,949.84 Typical High $9,332.54 | Facility | None | $954.99 | $1,949.84 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $758.58 Median $1,148.15 Typical High $10,964.78 | Professional | None | $758.58 | $1,148.15 | $10,964.78 |
United Setting Facility Modifier None Typical Low $954.99 Median $1,148.15 Typical High $2,344.23 | Facility | None | $954.99 | $1,148.15 | $2,344.23 |
United Setting Professional Modifier None Typical Low $707.95 Median $1,148.15 Typical High $1,513.56 | Professional | None | $707.95 | $1,148.15 | $1,513.56 |
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 $524.81 Median $776.25 Typical High $1,096.48 | Professional | 52 · Reduced service | $524.81 | $776.25 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $309.03 Typical High $436.52 | Professional | 53 · Discontinued | $208.93 | $309.03 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $234.42 Typical High $323.59 | Professional | 55 · Aftercare only | $158.49 | $234.42 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $154.88 Typical High $218.78 | Professional | 56 · Pre-op care only | $104.71 | $154.88 | $218.78 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $104.71 Median $104.71 Typical High $1,047.13 | Professional | RR · Rental | $104.71 | $104.71 | $1,047.13 |
Where Missouri sits
The same service costs 2.5 times more in Hawaii than in Rhode Island. 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· 22nd of 51
$1,288
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.