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 $323.59 Median $478.63 Typical High $478.63 | Facility | None | $323.59 | $478.63 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $478.63 Typical High $676.08 | Professional | None | $323.59 | $478.63 | $676.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $3,311.31 | Facility | None | $724.44 | $724.44 | $3,311.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $389.05 Median $436.52 Typical High $588.84 | Professional | None | $389.05 | $436.52 | $588.84 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $288.40 Median $295.12 Typical High $501.19 | Professional | UE · Used equipment | $288.40 | $295.12 | $501.19 |
BCBS Kansas City Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $724.44 | Professional | None | $436.52 | $436.52 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $426.58 | Facility | None | $398.11 | $398.11 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $398.11 | Professional | None | $295.12 | $295.12 | $398.11 |
Medica Setting Facility Modifier None Typical Low $323.59 Median $707.95 Typical High $3,630.78 | Facility | None | $323.59 | $707.95 | $3,630.78 |
Medica Setting Professional Modifier None Typical Low $269.15 Median $380.19 Typical High $4,265.80 | Professional | None | $269.15 | $380.19 | $4,265.80 |
United Setting Facility Modifier None Typical Low $371.54 Median $870.96 Typical High $870.96 | Facility | None | $371.54 | $870.96 | $870.96 |
United Setting Professional Modifier None Typical Low $251.19 Median $354.81 Typical High $501.19 | Professional | None | $251.19 | $354.81 | $501.19 |
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 $162.18 Median $239.88 Typical High $338.84 | Professional | 52 · Reduced service | $162.18 | $239.88 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $95.50 Typical High $134.90 | Professional | 53 · Discontinued | $64.57 | $95.50 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $72.44 Typical High $100.00 | Professional | 55 · Aftercare only | $48.98 | $72.44 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $47.86 Typical High $67.61 | Professional | 56 · Pre-op care only | $32.36 | $47.86 | $67.61 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $38.90 Median $38.90 Typical High $389.05 | Professional | RR · Rental | $38.90 | $38.90 | $389.05 |
Where Missouri sits
The same service costs 2.8 times more in Wisconsin 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· 32nd of 51
$417
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.