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 $223.87 Median $371.54 Typical High $446.68 | Professional | None | $223.87 | $371.54 | $446.68 |
Ambetter Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $302.00 Median $354.81 Typical High $467.74 | Professional | None | $302.00 | $354.81 | $467.74 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $446.68 Median $524.81 Typical High $691.83 | Professional | 50 · Both sides | $446.68 | $524.81 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $2,951.21 Typical High $6,760.83 | Facility | None | $707.95 | $2,951.21 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
Medica Setting Facility Modifier None Typical Low $794.33 Median $3,311.31 Typical High $12,882.50 | Facility | None | $794.33 | $3,311.31 | $12,882.50 |
Medica Setting Professional Modifier None Typical Low $363.08 Median $562.34 Typical High $2,570.40 | Professional | None | $363.08 | $562.34 | $2,570.40 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $3,467.37 Typical High $6,918.31 | Facility | None | $1,000.00 | $3,467.37 | $6,918.31 |
United Setting Professional Modifier None Typical Low $323.59 Median $457.09 Typical High $707.95 | Professional | None | $323.59 | $457.09 | $707.95 |
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 $112.20 Median $177.83 Typical High $218.78 | Professional | 52 · Reduced service | $112.20 | $177.83 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $70.79 Typical High $89.13 | Professional | 53 · Discontinued | $44.67 | $70.79 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $263.03 Typical High $331.13 | Professional | 54 · Surgery only | $169.82 | $263.03 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $52.48 Typical High $66.07 | Professional | 55 · Aftercare only | $33.88 | $52.48 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $35.48 Typical High $44.67 | Professional | 56 · Pre-op care only | $22.39 | $35.48 | $44.67 |
Where Missouri sits
The same service costs 28.2 times more in Texas 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· 31st of 51
$427
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.