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 $107.15 Median $4,677.35 Typical High $7,762.47 | Facility | None | $107.15 | $4,677.35 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $107.15 Typical High $138.04 | Professional | None | $74.13 | $107.15 | $138.04 |
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 $100.00 Median $138.04 Typical High $204.17 | Professional | None | $100.00 | $138.04 | $204.17 |
BCBS Kansas City Setting Professional Modifier None Typical Low $91.20 Median $151.36 Typical High $173.78 | Professional | None | $91.20 | $151.36 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $95.50 Typical High $134.90 | Facility | None | $58.88 | $95.50 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $134.90 Typical High $229.09 | Professional | None | $100.00 | $134.90 | $229.09 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $281.84 Typical High $1,288.25 | Facility | None | $54.95 | $281.84 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $131.83 Median $741.31 Typical High $1,071.52 | Professional | None | $131.83 | $741.31 | $1,071.52 |
United Setting Facility Modifier None Typical Low $123.03 Median $602.56 Typical High $2,454.71 | Facility | None | $123.03 | $602.56 | $2,454.71 |
United Setting Professional Modifier None Typical Low $89.13 Median $138.04 Typical High $245.47 | Professional | None | $89.13 | $138.04 | $245.47 |
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 $37.15 Median $52.48 Typical High $64.57 | Professional | 52 · Reduced service | $37.15 | $52.48 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $21.38 Typical High $25.70 | Professional | 53 · Discontinued | $15.14 | $21.38 | $25.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $56.23 Median $79.43 Typical High $95.50 | Professional | 54 · Surgery only | $56.23 | $79.43 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $15.85 Typical High $19.05 | Professional | 55 · Aftercare only | $11.22 | $15.85 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $10.72 Typical High $12.88 | Professional | 56 · Pre-op care only | $7.41 | $10.72 | $12.88 |
Where Missouri sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 29th of 51
$148
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.