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 $407.38 Median $602.56 Typical High $602.56 | Facility | None | $407.38 | $602.56 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $602.56 Typical High $851.14 | Professional | None | $407.38 | $602.56 | $851.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $4,265.80 | Facility | None | $912.01 | $912.01 | $4,265.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $478.63 Median $562.34 Typical High $741.31 | Professional | None | $478.63 | $562.34 | $741.31 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $354.81 Median $446.68 Typical High $630.96 | Professional | UE · Used equipment | $354.81 | $446.68 | $630.96 |
BCBS Kansas City Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $912.01 | Professional | None | $549.54 | $549.54 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $758.58 | Facility | None | $707.95 | $707.95 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $707.95 | Professional | None | $602.56 | $602.56 | $707.95 |
Medica Setting Facility Modifier None Typical Low $407.38 Median $870.96 Typical High $4,073.80 | Facility | None | $407.38 | $870.96 | $4,073.80 |
Medica Setting Professional Modifier None Typical Low $331.13 Median $467.74 Typical High $4,677.35 | Professional | None | $331.13 | $467.74 | $4,677.35 |
United Setting Facility Modifier None Typical Low $398.11 Median $1,071.52 Typical High $1,071.52 | Facility | None | $398.11 | $1,071.52 | $1,071.52 |
United Setting Professional Modifier None Typical Low $309.03 Median $446.68 Typical High $630.96 | Professional | None | $309.03 | $446.68 | $630.96 |
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 $204.17 Median $302.00 Typical High $426.58 | Professional | 52 · Reduced service | $204.17 | $302.00 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $123.03 Typical High $169.82 | Professional | 53 · Discontinued | $83.18 | $123.03 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $91.20 Typical High $128.82 | Professional | 55 · Aftercare only | $61.66 | $91.20 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $60.26 Typical High $85.11 | Professional | 56 · Pre-op care only | $40.74 | $60.26 | $85.11 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $60.26 Median $60.26 Typical High $616.60 | Professional | RR · Rental | $60.26 | $60.26 | $616.60 |
Where Missouri sits
The same service costs 2.0 times more in Iowa 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· 43rd of 51
$562
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.