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 $44.67 Median $2,951.21 Typical High $6,309.57 | Facility | None | $44.67 | $2,951.21 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $50.12 Typical High $77.62 | Professional | None | $42.66 | $50.12 | $77.62 |
Ambetter Setting Professional Modifier None Typical Low $41.69 Median $66.07 Typical High $91.20 | Professional | None | $41.69 | $66.07 | $91.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $48.98 Median $60.26 Typical High $93.33 | Professional | None | $48.98 | $60.26 | $93.33 |
BCBS Setting Professional Modifier None Typical Low $45.71 Median $61.66 Typical High $81.28 | Professional | None | $45.71 | $61.66 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $2,137.96 Typical High $2,691.53 | Facility | None | $575.44 | $2,137.96 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $69.18 Typical High $128.82 | Professional | None | $48.98 | $69.18 | $128.82 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $251.19 Typical High $1,258.93 | Facility | None | $100.00 | $251.19 | $1,258.93 |
Medica Setting Professional Modifier None Typical Low $54.95 Median $371.54 Typical High $446.68 | Professional | None | $54.95 | $371.54 | $446.68 |
United Setting Facility Modifier None Typical Low $123.03 Median $549.54 Typical High $2,137.96 | Facility | None | $123.03 | $549.54 | $2,137.96 |
United Setting Professional Modifier None Typical Low $47.86 Median $69.18 Typical High $112.20 | Professional | None | $47.86 | $69.18 | $112.20 |
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 $18.20 Median $22.39 Typical High $26.92 | Professional | 52 · Reduced service | $18.20 | $22.39 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $8.91 Typical High $10.72 | Professional | 53 · Discontinued | $7.24 | $8.91 | $10.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $27.54 Median $33.11 Typical High $39.81 | Professional | 54 · Surgery only | $27.54 | $33.11 | $39.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.50 Median $6.61 Typical High $7.94 | Professional | 55 · Aftercare only | $5.50 | $6.61 | $7.94 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.63 Median $4.47 Typical High $5.37 | Professional | 56 · Pre-op care only | $3.63 | $4.47 | $5.37 |
Where Missouri sits
The same service costs 4.8 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· 37th of 51
$64.57
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.