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 $549.54 Median $3,715.35 Typical High $6,309.57 | Facility | None | $549.54 | $3,715.35 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $467.74 Typical High $758.58 | Professional | None | $234.42 | $467.74 | $758.58 |
Ambetter Setting Professional Modifier None Typical Low $295.12 Median $724.44 Typical High $812.83 | Professional | None | $295.12 | $724.44 | $812.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $446.68 Median $1,621.81 Typical High $3,890.45 | Facility | None | $446.68 | $1,621.81 | $3,890.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $346.74 Median $478.63 Typical High $851.14 | Professional | None | $346.74 | $478.63 | $851.14 |
BCBS Kansas City Setting Professional Modifier None Typical Low $269.15 Median $602.56 Typical High $691.83 | Professional | None | $269.15 | $602.56 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $524.81 Typical High $1,659.59 | Facility | None | $389.05 | $524.81 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $575.44 Typical High $870.96 | Professional | None | $302.00 | $575.44 | $870.96 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $467.74 Typical High $1,621.81 | Facility | None | $54.95 | $467.74 | $1,621.81 |
Medica Setting Professional Modifier None Typical Low $562.34 Median $2,398.83 Typical High $4,786.30 | Professional | None | $562.34 | $2,398.83 | $4,786.30 |
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 $302.00 Median $562.34 Typical High $1,000.00 | Professional | None | $302.00 | $562.34 | $1,000.00 |
1 more rate 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 54 · Surgery only Typical Low $173.78 Median $346.74 Typical High $416.87 | Professional | 54 · Surgery only | $173.78 | $346.74 | $416.87 |
Where Missouri sits
The same service costs 3.1 times more in Alaska than in Maryland. 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· 37th of 51
$550
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.