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 $1,096.48 Median $1,096.48 Typical High $1,479.11 | Facility | None | $1,096.48 | $1,096.48 | $1,479.11 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,122.02 Typical High $1,479.11 | Professional | None | $1,096.48 | $1,122.02 | $1,479.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $7,244.36 | Facility | None | $1,584.89 | $1,584.89 | $7,244.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $977.24 Median $2,089.30 Typical High $2,290.87 | Professional | None | $977.24 | $2,089.30 | $2,290.87 |
BCBS Kansas City Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,000.00 | Professional | None | $954.99 | $954.99 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Medica Setting Facility Modifier None Typical Low $1,174.90 Median $2,041.74 Typical High $7,943.28 | Facility | None | $1,174.90 | $2,041.74 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $645.65 Median $776.25 Typical High $10,232.93 | Professional | None | $645.65 | $776.25 | $10,232.93 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
United Setting Professional Modifier None Typical Low $645.65 Median $707.95 Typical High $1,096.48 | Professional | None | $645.65 | $707.95 | $1,096.48 |
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 $549.54 Median $562.34 Typical High $741.31 | Professional | 52 · Reduced service | $549.54 | $562.34 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $229.09 Typical High $295.12 | Professional | 53 · Discontinued | $218.78 | $229.09 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $169.82 Typical High $218.78 | Professional | 55 · Aftercare only | $165.96 | $169.82 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $112.20 Typical High $147.91 | Professional | 56 · Pre-op care only | $109.65 | $112.20 | $147.91 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $691.83 Median $1,737.80 Typical High $1,737.80 | Professional | UE · Used equipment | $691.83 | $1,737.80 | $1,737.80 |
Where Missouri sits
The same service costs 2.7 times more in Montana than in New Jersey. 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
$977
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.