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 $7.59 Median $4,677.35 Typical High $7,762.47 | Facility | None | $7.59 | $4,677.35 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $5.75 Median $10.96 Typical High $20.42 | Professional | None | $5.75 | $10.96 | $20.42 |
Ambetter Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | None | $6.61 | $6.61 | $6.61 |
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 $7.94 Median $13.80 Typical High $21.88 | Professional | None | $7.94 | $13.80 | $21.88 |
BCBS Kansas City Setting Professional Modifier None Typical Low $7.08 Median $14.13 Typical High $15.85 | Professional | None | $7.08 | $14.13 | $15.85 |
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 $7.59 Median $13.18 Typical High $20.89 | Professional | None | $7.59 | $13.18 | $20.89 |
Medica Setting Facility Modifier None Typical Low $24.55 Median $177.83 Typical High $1,288.25 | Facility | None | $24.55 | $177.83 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $14.13 Median $120.23 Typical High $131.83 | Professional | None | $14.13 | $120.23 | $131.83 |
United Setting Facility Modifier None Typical Low $123.03 Median $537.03 Typical High $2,137.96 | Facility | None | $123.03 | $537.03 | $2,137.96 |
United Setting Professional Modifier None Typical Low $6.92 Median $13.49 Typical High $26.30 | Professional | None | $6.92 | $13.49 | $26.30 |
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 $2.88 Median $5.25 Typical High $7.24 | Professional | 52 · Reduced service | $2.88 | $5.25 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.15 Median $2.19 Typical High $2.88 | Professional | 53 · Discontinued | $1.15 | $2.19 | $2.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $4.37 Median $7.94 Typical High $10.96 | Professional | 54 · Surgery only | $4.37 | $7.94 | $10.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.85 Median $1.62 Typical High $2.19 | Professional | 55 · Aftercare only | $0.85 | $1.62 | $2.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.58 Median $1.10 Typical High $1.45 | Professional | 56 · Pre-op care only | $0.58 | $1.10 | $1.45 |
Where Missouri sits
The same service costs 3.5 times more in Alaska than in New Jersey. 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· 34th of 51
$14.45
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.