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 $1,202.26 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,202.26 | $1,778.28 | $1,778.28 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,778.28 Typical High $2,454.71 | Professional | None | $1,202.26 | $1,778.28 | $2,454.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,318.26 Median $1,479.11 Typical High $2,754.23 | Professional | None | $1,318.26 | $1,479.11 | $2,754.23 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,000.00 Median $1,122.02 Typical High $2,089.30 | Professional | UE · Used equipment | $1,000.00 | $1,122.02 | $2,089.30 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $2,630.27 | Professional | None | $1,584.89 | $1,584.89 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,584.89 | Facility | None | $1,479.11 | $1,479.11 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,479.11 | Professional | None | $1,258.93 | $1,258.93 | $1,479.11 |
Medica Setting Facility Modifier None Typical Low $1,202.26 Median $2,344.23 Typical High $11,481.54 | Facility | None | $1,202.26 | $2,344.23 | $11,481.54 |
Medica Setting Professional Modifier None Typical Low $977.24 Median $1,318.26 Typical High $13,182.57 | Professional | None | $977.24 | $1,318.26 | $13,182.57 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,288.25 Typical High $1,862.09 | Professional | None | $933.25 | $1,288.25 | $1,862.09 |
4 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 $602.56 Median $891.25 Typical High $1,230.27 | Professional | 52 · Reduced service | $602.56 | $891.25 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $354.81 Typical High $501.19 | Professional | 53 · Discontinued | $239.88 | $354.81 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $263.03 Typical High $371.54 | Professional | 55 · Aftercare only | $177.83 | $263.03 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $177.83 Typical High $245.47 | Professional | 56 · Pre-op care only | $120.23 | $177.83 | $245.47 |
Where Missouri sits
The same service costs 2.6 times more in Montana than in New York. 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
$1,413
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.