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 $1,174.90 Median $3,162.28 Typical High $7,762.47 | Facility | None | $1,174.90 | $3,162.28 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $295.12 Typical High $1,174.90 | Professional | None | $239.88 | $295.12 | $1,174.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $446.68 Median $1,621.81 Typical High $3,890.45 | Facility | None | $446.68 | $1,621.81 | $3,890.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $338.84 Median $478.63 Typical High $616.60 | Professional | None | $338.84 | $478.63 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $562.34 Typical High $1,659.59 | Facility | None | $380.19 | $562.34 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $346.74 Typical High $776.25 | Professional | None | $302.00 | $346.74 | $776.25 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $1,096.48 Typical High $3,019.95 | Facility | None | $398.11 | $1,096.48 | $3,019.95 |
Medica Setting Professional Modifier None Typical Low $346.74 Median $549.54 Typical High $2,398.83 | Professional | None | $346.74 | $549.54 | $2,398.83 |
United Setting Facility Modifier None Typical Low $398.11 Median $1,148.15 Typical High $2,238.72 | Facility | None | $398.11 | $1,148.15 | $2,238.72 |
United Setting Professional Modifier None Typical Low $316.23 Median $407.38 Typical High $691.83 | Professional | None | $316.23 | $407.38 | $691.83 |
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 $120.23 Median $147.91 Typical High $154.88 | Professional | 52 · Reduced service | $120.23 | $147.91 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $58.88 Typical High $63.10 | Professional | 53 · Discontinued | $47.86 | $58.88 | $63.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $218.78 Typical High $234.42 | Professional | 54 · Surgery only | $177.83 | $218.78 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $43.65 Typical High $46.77 | Professional | 55 · Aftercare only | $35.48 | $43.65 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $29.51 Typical High $30.90 | Professional | 56 · Pre-op care only | $23.99 | $29.51 | $30.90 |
Where Missouri sits
The same service costs 4.1 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· 22nd of 51
$550
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.