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 $2,511.89 Median $5,623.41 Typical High $13,803.84 | Facility | None | $2,511.89 | $5,623.41 | $13,803.84 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $371.54 Typical High $4,365.16 | Professional | None | $234.42 | $371.54 | $4,365.16 |
Anthem BCBS Setting Professional Modifier None Typical Low $323.59 Median $363.08 Typical High $512.86 | Professional | None | $323.59 | $363.08 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $19,498.45 Typical High $28,183.83 | Facility | None | $707.95 | $19,498.45 | $28,183.83 |
Medica Setting Facility Modifier None Typical Low $1,348.96 Median $8,511.38 Typical High $120,226.44 | Facility | None | $1,348.96 | $8,511.38 | $120,226.44 |
Medica Setting Professional Modifier None Typical Low $478.63 Median $831.76 Typical High $2,691.53 | Professional | None | $478.63 | $831.76 | $2,691.53 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $8,709.64 Typical High $40,738.03 | Facility | None | $1,548.82 | $8,709.64 | $40,738.03 |
United Setting Professional Modifier None Typical Low $389.05 Median $602.56 Typical High $1,122.02 | Professional | None | $389.05 | $602.56 | $1,122.02 |
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 $117.49 Median $173.78 Typical High $229.09 | Professional | 52 · Reduced service | $117.49 | $173.78 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $69.18 Typical High $93.33 | Professional | 53 · Discontinued | $46.77 | $69.18 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $263.03 Typical High $346.74 | Professional | 54 · Surgery only | $177.83 | $263.03 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $52.48 Typical High $69.18 | Professional | 55 · Aftercare only | $35.48 | $52.48 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $34.67 Typical High $46.77 | Professional | 56 · Pre-op care only | $23.44 | $34.67 | $46.77 |
Where Missouri sits
The same service costs 63.1 times more in Arkansas 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· 42nd 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.