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 $1,584.89 Median $2,344.23 Typical High $2,344.23 | Facility | None | $1,584.89 | $2,344.23 | $2,344.23 |
Aetna Setting Professional Modifier None Typical Low $1,584.89 Median $2,344.23 Typical High $3,311.31 | Professional | None | $1,584.89 | $2,344.23 | $3,311.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $16,218.10 | Facility | None | $3,548.13 | $3,548.13 | $16,218.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,995.26 Median $2,137.96 Typical High $2,884.03 | Professional | None | $1,995.26 | $2,137.96 | $2,884.03 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,479.11 Median $1,548.82 Typical High $2,454.71 | Professional | UE · Used equipment | $1,479.11 | $1,548.82 | $2,454.71 |
BCBS Kansas City Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $3,548.13 | Professional | None | $2,137.96 | $2,137.96 | $3,548.13 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,570.40 | Facility | None | $2,398.83 | $2,398.83 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,398.83 | Professional | None | $1,737.80 | $1,737.80 | $2,398.83 |
Medica Setting Facility Modifier None Typical Low $1,584.89 Median $3,467.37 Typical High $16,982.44 | Facility | None | $1,584.89 | $3,467.37 | $16,982.44 |
Medica Setting Professional Modifier None Typical Low $1,412.54 Median $1,862.09 Typical High $22,387.21 | Professional | None | $1,412.54 | $1,862.09 | $22,387.21 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,698.24 Typical High $4,570.88 | Facility | None | $1,445.44 | $1,698.24 | $4,570.88 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $1,737.80 Typical High $2,630.27 | Professional | None | $1,318.26 | $1,737.80 | $2,630.27 |
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 $794.33 Median $1,174.90 Typical High $1,659.59 | Professional | 52 · Reduced service | $794.33 | $1,174.90 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $467.74 Typical High $660.69 | Professional | 53 · Discontinued | $316.23 | $467.74 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $354.81 Typical High $501.19 | Professional | 55 · Aftercare only | $239.88 | $354.81 | $501.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $234.42 Typical High $331.13 | Professional | 56 · Pre-op care only | $158.49 | $234.42 | $331.13 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $208.93 Median $208.93 Typical High $2,089.30 | Professional | RR · Rental | $208.93 | $208.93 | $2,089.30 |
Where Missouri sits
The same service costs 2.2 times more in Arkansas than in Delaware. 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· 35th of 51
$2,089
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.