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 $6,309.57 Typical High $13,489.63 | Facility | None | $2,511.89 | $6,309.57 | $13,489.63 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $363.08 Typical High $4,897.79 | Professional | None | $229.09 | $363.08 | $4,897.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $45.71 Median $50.12 Typical High $407.38 | Professional | None | $45.71 | $50.12 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $7,762.47 Typical High $24,547.09 | Facility | None | $741.31 | $7,762.47 | $24,547.09 |
Medica Setting Facility Modifier None Typical Low $1,023.29 Median $5,248.07 Typical High $39,810.72 | Facility | None | $1,023.29 | $5,248.07 | $39,810.72 |
Medica Setting Professional Modifier None Typical Low $67.61 Median $112.20 Typical High $2,754.23 | Professional | None | $67.61 | $112.20 | $2,754.23 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $5,248.07 Typical High $19,054.61 | Facility | None | $1,174.90 | $5,248.07 | $19,054.61 |
United Setting Professional Modifier None Typical Low $61.66 Median $85.11 Typical High $1,096.48 | Professional | None | $61.66 | $85.11 | $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 $114.82 Median $177.83 Typical High $223.87 | Professional | 52 · Reduced service | $114.82 | $177.83 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $70.79 Typical High $91.20 | Professional | 53 · Discontinued | $45.71 | $70.79 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $269.15 Typical High $338.84 | Professional | 54 · Surgery only | $169.82 | $269.15 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $53.70 Typical High $67.61 | Professional | 55 · Aftercare only | $34.67 | $53.70 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $35.48 Typical High $45.71 | Professional | 56 · Pre-op care only | $22.91 | $35.48 | $45.71 |
Where Missouri sits
The same service costs 93.3 times more in Oregon than in Vermont. 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· 46th of 51
$209
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.