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 $4,570.88 Median $6,760.83 Typical High $6,760.83 | Facility | None | $4,570.88 | $6,760.83 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $4,570.88 Median $6,760.83 Typical High $9,332.54 | Professional | None | $4,570.88 | $6,760.83 | $9,332.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $10,000.00 Median $10,000.00 Typical High $46,773.51 | Facility | None | $10,000.00 | $10,000.00 | $46,773.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $5,495.41 Median $6,165.95 Typical High $8,128.31 | Professional | None | $5,495.41 | $6,165.95 | $8,128.31 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $4,168.69 Median $4,265.80 Typical High $6,918.31 | Professional | UE · Used equipment | $4,168.69 | $4,265.80 | $6,918.31 |
BCBS Kansas City Setting Professional Modifier None Typical Low $6,025.60 Median $6,025.60 Typical High $10,000.00 | Professional | None | $6,025.60 | $6,025.60 | $10,000.00 |
Cigna Setting Facility Modifier None Typical Low $7,244.36 Median $7,244.36 Typical High $7,762.47 | Facility | None | $7,244.36 | $7,244.36 | $7,762.47 |
Cigna Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $7,244.36 | Professional | None | $5,248.07 | $5,248.07 | $7,244.36 |
Medica Setting Facility Modifier None Typical Low $4,786.30 Median $9,332.54 Typical High $47,863.01 | Facility | None | $4,786.30 | $9,332.54 | $47,863.01 |
Medica Setting Professional Modifier None Typical Low $3,801.89 Median $5,248.07 Typical High $52,480.75 | Professional | None | $3,801.89 | $5,248.07 | $52,480.75 |
United Setting Facility Modifier None Typical Low $4,365.16 Median $5,128.61 Typical High $12,589.25 | Facility | None | $4,365.16 | $5,128.61 | $12,589.25 |
United Setting Professional Modifier None Typical Low $3,630.78 Median $4,897.79 Typical High $7,079.46 | Professional | None | $3,630.78 | $4,897.79 | $7,079.46 |
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 $2,290.87 Median $3,388.44 Typical High $4,677.35 | Professional | 52 · Reduced service | $2,290.87 | $3,388.44 | $4,677.35 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $912.01 Median $1,348.96 Typical High $1,905.46 | Professional | 53 · Discontinued | $912.01 | $1,348.96 | $1,905.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $676.08 Median $1,000.00 Typical High $1,412.54 | Professional | 55 · Aftercare only | $676.08 | $1,000.00 | $1,412.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $457.09 Median $676.08 Typical High $933.25 | Professional | 56 · Pre-op care only | $457.09 | $676.08 | $933.25 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $562.34 Median $562.34 Typical High $5,623.41 | Professional | RR · Rental | $562.34 | $562.34 | $5,623.41 |
Where Missouri sits
The same service costs 2.1 times more in Hawaii than in New Jersey. 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· 32nd of 51
$5,754
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.