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 $30.20 Median $3,162.28 Typical High $7,762.47 | Facility | None | $30.20 | $3,162.28 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $64.57 Typical High $117.49 | Professional | None | $25.12 | $64.57 | $117.49 |
Ambetter Setting Professional Modifier None Typical Low $60.26 Median $77.62 Typical High $144.54 | Professional | None | $60.26 | $77.62 | $144.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $151.36 Median $1,621.81 Typical High $3,890.45 | Facility | None | $151.36 | $1,621.81 | $3,890.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $32.36 Median $60.26 Typical High $120.23 | Professional | None | $32.36 | $60.26 | $120.23 |
BCBS Kansas City Setting Professional Modifier None Typical Low $28.84 Median $91.20 Typical High $104.71 | Professional | None | $28.84 | $91.20 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $66.07 Typical High $66.07 | Facility | None | $50.12 | $66.07 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $83.18 Typical High $131.83 | Professional | None | $34.67 | $83.18 | $131.83 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $194.98 Typical High $1,584.89 | Facility | None | $54.95 | $194.98 | $1,584.89 |
Medica Setting Professional Modifier None Typical Low $72.44 Median $380.19 Typical High $741.31 | Professional | None | $72.44 | $380.19 | $741.31 |
United Setting Facility Modifier None Typical Low $123.03 Median $602.56 Typical High $2,137.96 | Facility | None | $123.03 | $602.56 | $2,137.96 |
United Setting Professional Modifier None Typical Low $28.18 Median $66.07 Typical High $154.88 | Professional | None | $28.18 | $66.07 | $154.88 |
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 $12.59 Median $25.70 Typical High $44.67 | Professional | 52 · Reduced service | $12.59 | $25.70 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $10.23 Typical High $17.78 | Professional | 53 · Discontinued | $5.01 | $10.23 | $17.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $18.62 Median $38.90 Typical High $67.61 | Professional | 54 · Surgery only | $18.62 | $38.90 | $67.61 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.72 Median $7.76 Typical High $13.49 | Professional | 55 · Aftercare only | $3.72 | $7.76 | $13.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.51 Median $5.13 Typical High $8.91 | Professional | 56 · Pre-op care only | $2.51 | $5.13 | $8.91 |
Where Missouri sits
The same service costs 3.3 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· 30th of 51
$79.43
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.