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 $33.88 Median $57.54 Typical High $107.15 | Facility | None | $33.88 | $57.54 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $57.54 Typical High $75.86 | Professional | None | $33.88 | $57.54 | $75.86 |
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 $47.86 Median $69.18 Typical High $104.71 | Professional | None | $47.86 | $69.18 | $104.71 |
BCBS Setting Professional Modifier None Typical Low $43.65 Median $87.10 Typical High $100.00 | Professional | None | $43.65 | $87.10 | $100.00 |
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 $46.77 Median $70.79 Typical High $114.82 | Professional | None | $46.77 | $70.79 | $114.82 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $208.93 Typical High $1,288.25 | Facility | None | $54.95 | $208.93 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $64.57 Median $338.84 Typical High $588.84 | Professional | None | $64.57 | $338.84 | $588.84 |
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 $40.74 Median $67.61 Typical High $117.49 | Professional | None | $40.74 | $67.61 | $117.49 |
4 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 $16.98 Median $26.92 Typical High $34.67 | Professional | 52 · Reduced service | $16.98 | $26.92 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $10.96 Typical High $13.80 | Professional | 53 · Discontinued | $6.76 | $10.96 | $13.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.01 Median $8.13 Typical High $10.47 | Professional | 55 · Aftercare only | $5.01 | $8.13 | $10.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.39 Median $5.50 Typical High $6.92 | Professional | 56 · Pre-op care only | $3.39 | $5.50 | $6.92 |
Where Missouri sits
The same service costs 3.3 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· 32nd of 51
$72.44
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.