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 $1,548.82 Median $3,981.07 Typical High $7,762.47 | Facility | None | $1,548.82 | $3,981.07 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $323.59 Typical High $467.74 | Professional | None | $234.42 | $323.59 | $467.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $309.03 Median $363.08 Typical High $512.86 | Professional | None | $309.03 | $363.08 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,148.15 Typical High $3,801.89 | Facility | None | $707.95 | $1,148.15 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None | $616.60 | $616.60 | $616.60 |
Medica Setting Facility Modifier None Typical Low $524.81 Median $1,445.44 Typical High $4,897.79 | Facility | None | $524.81 | $1,445.44 | $4,897.79 |
Medica Setting Professional Modifier None Typical Low $457.09 Median $912.01 Typical High $2,884.03 | Professional | None | $457.09 | $912.01 | $2,884.03 |
United Setting Facility Modifier None Typical Low $562.34 Median $1,513.56 Typical High $3,235.94 | Facility | None | $562.34 | $1,513.56 | $3,235.94 |
United Setting Professional Modifier None Typical Low $363.08 Median $537.03 Typical High $891.25 | Professional | None | $363.08 | $537.03 | $891.25 |
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 $117.49 Median $154.88 Typical High $234.42 | Professional | 52 · Reduced service | $117.49 | $154.88 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $61.66 Typical High $93.33 | Professional | 53 · Discontinued | $47.86 | $61.66 | $93.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $46.77 Typical High $70.79 | Professional | 55 · Aftercare only | $35.48 | $46.77 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $30.90 Typical High $46.77 | Professional | 56 · Pre-op care only | $23.44 | $30.90 | $46.77 |
Where Missouri sits
The same service costs 7.1 times more in Alaska than in Kentucky. 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· 23rd of 51
$447
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.