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 $10.23 Median $10.23 Typical High $19.95 | Facility | None | $10.23 | $10.23 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $15.85 Typical High $22.91 | Professional | None | $10.23 | $15.85 | $22.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.95 Median $21.88 Typical High $31.62 | Professional | None | $19.95 | $21.88 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $446.68 | Facility | None | $144.54 | $144.54 | $446.68 |
Medica Setting Facility Modifier None Typical Low $43.65 Median $489.78 Typical High $1,288.25 | Facility | None | $43.65 | $489.78 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $20.89 Median $63.10 Typical High $102.33 | Professional | None | $20.89 | $63.10 | $102.33 |
United Setting Facility Modifier None Typical Low $245.47 Median $794.33 Typical High $3,548.13 | Facility | None | $245.47 | $794.33 | $3,548.13 |
United Setting Professional Modifier None Typical Low $15.85 Median $25.12 Typical High $52.48 | Professional | None | $15.85 | $25.12 | $52.48 |
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 $5.13 Median $7.94 Typical High $11.48 | Professional | 52 · Reduced service | $5.13 | $7.94 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $3.24 Typical High $4.57 | Professional | 53 · Discontinued | $2.04 | $3.24 | $4.57 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.51 Median $2.40 Typical High $3.39 | Professional | 55 · Aftercare only | $1.51 | $2.40 | $3.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.00 Median $1.58 Typical High $2.29 | Professional | 56 · Pre-op care only | $1.00 | $1.58 | $2.29 |
Where Missouri sits
The same service costs 19.1 times more in Indiana than in Delaware. 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· 29th of 51
$22.91
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.