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 $4,073.80 Median $6,025.60 Typical High $6,025.60 | Facility | None | $4,073.80 | $6,025.60 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $4,073.80 Median $6,025.60 Typical High $8,511.38 | Professional | None | $4,073.80 | $6,025.60 | $8,511.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $9,120.11 Median $9,120.11 Typical High $42,657.95 | Facility | None | $9,120.11 | $9,120.11 | $42,657.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $4,786.30 Median $5,623.41 Typical High $7,413.10 | Professional | None | $4,786.30 | $5,623.41 | $7,413.10 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $3,630.78 Median $3,630.78 Typical High $6,309.57 | Professional | UE · Used equipment | $3,630.78 | $3,630.78 | $6,309.57 |
BCBS Kansas City Setting Professional Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $9,120.11 | Professional | None | $5,495.41 | $5,495.41 | $9,120.11 |
Cigna Setting Facility Modifier None Typical Low $6,606.93 Median $6,606.93 Typical High $7,079.46 | Facility | None | $6,606.93 | $6,606.93 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $6,606.93 | Professional | None | $4,786.30 | $4,786.30 | $6,606.93 |
Medica Setting Facility Modifier None Typical Low $4,073.80 Median $8,709.64 Typical High $42,657.95 | Facility | None | $4,073.80 | $8,709.64 | $42,657.95 |
Medica Setting Professional Modifier None Typical Low $3,311.31 Median $4,570.88 Typical High $48,977.88 | Professional | None | $3,311.31 | $4,570.88 | $48,977.88 |
United Setting Facility Modifier None Typical Low $3,801.89 Median $4,466.84 Typical High $10,964.78 | Facility | None | $3,801.89 | $4,466.84 | $10,964.78 |
United Setting Professional Modifier None Typical Low $3,162.28 Median $4,466.84 Typical High $6,309.57 | Professional | None | $3,162.28 | $4,466.84 | $6,309.57 |
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 $2,041.74 Median $3,019.95 Typical High $4,265.80 | Professional | 52 · Reduced service | $2,041.74 | $3,019.95 | $4,265.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $831.76 Median $1,230.27 Typical High $1,698.24 | Professional | 53 · Discontinued | $831.76 | $1,230.27 | $1,698.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $616.60 Median $912.01 Typical High $1,288.25 | Professional | 55 · Aftercare only | $616.60 | $912.01 | $1,288.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $407.38 Median $602.56 Typical High $851.14 | Professional | 56 · Pre-op care only | $407.38 | $602.56 | $851.14 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $489.78 Median $489.78 Typical High $4,897.79 | Professional | RR · Rental | $489.78 | $489.78 | $4,897.79 |
Where Missouri sits
The same service costs 2.1 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· 29th of 51
$5,248
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.