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 $8,317.64 Median $12,302.69 Typical High $12,302.69 | Facility | None | $8,317.64 | $12,302.69 | $12,302.69 |
Aetna Setting Professional Modifier None Typical Low $8,317.64 Median $12,302.69 Typical High $17,378.01 | Professional | None | $8,317.64 | $12,302.69 | $17,378.01 |
Anthem BCBS Setting Facility Modifier None Typical Low $18,620.87 Median $18,620.87 Typical High $85,113.80 | Facility | None | $18,620.87 | $18,620.87 | $85,113.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $10,471.29 Median $11,220.18 Typical High $14,791.08 | Professional | None | $10,471.29 | $11,220.18 | $14,791.08 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $7,762.47 Median $7,943.28 Typical High $12,882.50 | Professional | UE · Used equipment | $7,762.47 | $7,943.28 | $12,882.50 |
BCBS Kansas City Setting Professional Modifier None Typical Low $10,964.78 Median $10,964.78 Typical High $18,620.87 | Professional | None | $10,964.78 | $10,964.78 | $18,620.87 |
Cigna Setting Facility Modifier None Typical Low $12,589.25 Median $12,589.25 Typical High $13,489.63 | Facility | None | $12,589.25 | $12,589.25 | $13,489.63 |
Cigna Setting Professional Modifier None Typical Low $9,120.11 Median $9,120.11 Typical High $12,589.25 | Professional | None | $9,120.11 | $9,120.11 | $12,589.25 |
Medica Setting Facility Modifier None Typical Low $8,317.64 Median $18,197.01 Typical High $91,201.08 | Facility | None | $8,317.64 | $18,197.01 | $91,201.08 |
Medica Setting Professional Modifier None Typical Low $7,244.36 Median $9,772.37 Typical High $114,815.36 | Professional | None | $7,244.36 | $9,772.37 | $114,815.36 |
United Setting Facility Modifier None Typical Low $7,943.28 Median $9,332.54 Typical High $23,988.33 | Facility | None | $7,943.28 | $9,332.54 | $23,988.33 |
United Setting Professional Modifier None Typical Low $6,760.83 Median $9,120.11 Typical High $13,489.63 | Professional | None | $6,760.83 | $9,120.11 | $13,489.63 |
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 $4,168.69 Median $6,165.95 Typical High $8,709.64 | Professional | 52 · Reduced service | $4,168.69 | $6,165.95 | $8,709.64 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,659.59 Median $2,454.71 Typical High $3,467.37 | Professional | 53 · Discontinued | $1,659.59 | $2,454.71 | $3,467.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1,230.27 Median $1,819.70 Typical High $2,570.40 | Professional | 55 · Aftercare only | $1,230.27 | $1,819.70 | $2,570.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $831.76 Median $1,230.27 Typical High $1,737.80 | Professional | 56 · Pre-op care only | $831.76 | $1,230.27 | $1,737.80 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1,071.52 Median $1,071.52 Typical High $10,715.19 | Professional | RR · Rental | $1,071.52 | $1,071.52 | $10,715.19 |
Where Missouri sits
The same service costs 2.5 times more in Montana than in Florida. 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· 36th of 51
$10,715
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.