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 $7,943.28 Median $11,748.98 Typical High $11,748.98 | Facility | None | $7,943.28 | $11,748.98 | $11,748.98 |
Aetna Setting Professional Modifier None Typical Low $7,943.28 Median $11,748.98 Typical High $16,595.87 | Professional | None | $7,943.28 | $11,748.98 | $16,595.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $17,782.79 Median $17,782.79 Typical High $81,283.05 | Facility | None | $17,782.79 | $17,782.79 | $81,283.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $10,000.00 Median $10,715.19 Typical High $14,125.38 | Professional | None | $10,000.00 | $10,715.19 | $14,125.38 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $7,244.36 Median $7,762.47 Typical High $12,022.64 | Professional | UE · Used equipment | $7,244.36 | $7,762.47 | $12,022.64 |
BCBS Kansas City Setting Professional Modifier None Typical Low $10,471.29 Median $10,471.29 Typical High $17,782.79 | Professional | None | $10,471.29 | $10,471.29 | $17,782.79 |
Cigna Setting Facility Modifier None Typical Low $11,748.98 Median $11,748.98 Typical High $12,882.50 | Facility | None | $11,748.98 | $11,748.98 | $12,882.50 |
Cigna Setting Professional Modifier None Typical Low $8,511.38 Median $8,511.38 Typical High $11,748.98 | Professional | None | $8,511.38 | $8,511.38 | $11,748.98 |
Medica Setting Facility Modifier None Typical Low $7,943.28 Median $17,378.01 Typical High $87,096.36 | Facility | None | $7,943.28 | $17,378.01 | $87,096.36 |
Medica Setting Professional Modifier None Typical Low $7,079.46 Median $9,332.54 Typical High $112,201.85 | Professional | None | $7,079.46 | $9,332.54 | $112,201.85 |
United Setting Facility Modifier None Typical Low $7,585.78 Median $8,912.51 Typical High $22,908.68 | Facility | None | $7,585.78 | $8,912.51 | $22,908.68 |
United Setting Professional Modifier None Typical Low $6,606.93 Median $8,511.38 Typical High $13,182.57 | Professional | None | $6,606.93 | $8,511.38 | $13,182.57 |
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 $3,981.07 Median $5,888.44 Typical High $8,128.31 | Professional | 52 · Reduced service | $3,981.07 | $5,888.44 | $8,128.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,584.89 Median $2,344.23 Typical High $3,311.31 | Professional | 53 · Discontinued | $1,584.89 | $2,344.23 | $3,311.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1,174.90 Median $1,737.80 Typical High $2,454.71 | Professional | 55 · Aftercare only | $1,174.90 | $1,737.80 | $2,454.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $794.33 Median $1,174.90 Typical High $1,659.59 | Professional | 56 · Pre-op care only | $794.33 | $1,174.90 | $1,659.59 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1,023.29 Median $1,023.29 Typical High $10,232.93 | Professional | RR · Rental | $1,023.29 | $1,023.29 | $10,232.93 |
Where Missouri sits
The same service costs 2.6 times more in Montana 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· 37th of 51
$10,233
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.