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 $53.70 Median $3,162.28 Typical High $7,762.47 | Facility | None | $53.70 | $3,162.28 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $44.67 Typical High $58.88 | Professional | None | $21.38 | $44.67 | $58.88 |
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 $30.90 Median $50.12 Typical High $79.43 | Professional | None | $30.90 | $50.12 | $79.43 |
BCBS Kansas City Setting Professional Modifier None Typical Low $25.70 Median $63.10 Typical High $72.44 | Professional | None | $25.70 | $63.10 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $2,691.53 Typical High $2,691.53 | Facility | None | $50.12 | $2,691.53 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $54.95 Typical High $87.10 | Professional | None | $29.51 | $54.95 | $87.10 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $173.78 Typical High $1,258.93 | Facility | None | $54.95 | $173.78 | $1,258.93 |
Medica Setting Professional Modifier None Typical Low $56.23 Median $1,230.27 Typical High $1,445.44 | Professional | None | $56.23 | $1,230.27 | $1,445.44 |
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 $26.30 Median $54.95 Typical High $95.50 | Professional | None | $26.30 | $54.95 | $95.50 |
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 $10.72 Median $22.39 Typical High $26.92 | Professional | 52 · Reduced service | $10.72 | $22.39 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $8.91 Typical High $10.72 | Professional | 53 · Discontinued | $4.27 | $8.91 | $10.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $16.22 Median $33.11 Typical High $40.74 | Professional | 54 · Surgery only | $16.22 | $33.11 | $40.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.24 Median $6.76 Typical High $8.13 | Professional | 55 · Aftercare only | $3.24 | $6.76 | $8.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.14 Median $4.47 Typical High $5.37 | Professional | 56 · Pre-op care only | $2.14 | $4.47 | $5.37 |
Where Missouri sits
The same service costs 4.0 times more in Alaska than in Texas. 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· 36th of 51
$54.95
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.