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 $338.84 Median $501.19 Typical High $1,380.38 | Facility | None | $338.84 | $501.19 | $1,380.38 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $501.19 Typical High $707.95 | Professional | None | $338.84 | $501.19 | $707.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $446.68 Median $467.74 Typical High $616.60 | Professional | None | $446.68 | $467.74 | $616.60 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $323.59 Median $338.84 Typical High $524.81 | Professional | UE · Used equipment | $323.59 | $338.84 | $524.81 |
BCBS Kansas City Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $758.58 | Professional | None | $457.09 | $457.09 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $707.95 | Facility | None | $660.69 | $660.69 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $660.69 | Professional | None | $562.34 | $562.34 | $660.69 |
Medica Setting Facility Modifier None Typical Low $338.84 Median $676.08 Typical High $3,890.45 | Facility | None | $338.84 | $676.08 | $3,890.45 |
Medica Setting Professional Modifier None Typical Low $309.03 Median $407.38 Typical High $5,011.87 | Professional | None | $309.03 | $407.38 | $5,011.87 |
United Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
United Setting Professional Modifier None Typical Low $288.40 Median $371.54 Typical High $575.44 | Professional | None | $288.40 | $371.54 | $575.44 |
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 $169.82 Median $251.19 Typical High $354.81 | Professional | 52 · Reduced service | $169.82 | $251.19 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $102.33 Typical High $141.25 | Professional | 53 · Discontinued | $69.18 | $102.33 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $75.86 Typical High $107.15 | Professional | 55 · Aftercare only | $51.29 | $75.86 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $50.12 Typical High $70.79 | Professional | 56 · Pre-op care only | $33.88 | $50.12 | $70.79 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $45.71 Median $45.71 Typical High $457.09 | Professional | RR · Rental | $45.71 | $45.71 | $457.09 |
Where Missouri sits
The same service costs 2.5 times more in Montana than in Washington, DC. 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
$468
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.