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 $1,862.09 Median $4,897.79 Typical High $7,762.47 | Facility | None | $1,862.09 | $4,897.79 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $1,621.81 Typical High $2,089.30 | Professional | None | $1,513.56 | $1,621.81 | $2,089.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $446.68 Median $1,584.89 Typical High $3,890.45 | Facility | None | $446.68 | $1,584.89 | $3,890.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,122.02 Median $1,905.46 Typical High $2,818.38 | Professional | None | $1,122.02 | $1,905.46 | $2,818.38 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $707.95 Median $1,202.26 Typical High $1,778.28 | Professional | 62 · Two surgeons | $707.95 | $1,202.26 | $1,778.28 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1,819.70 Median $1,995.26 Typical High $2,570.40 | Professional | None | $1,819.70 | $1,995.26 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $1,174.90 Typical High $5,248.07 | Facility | None | $794.33 | $1,174.90 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $1,445.44 Median $2,137.96 Typical High $3,630.78 | Professional | None | $1,445.44 | $2,137.96 | $3,630.78 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,096.48 Typical High $7,762.47 | Facility | None | $54.95 | $1,096.48 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $1,778.28 Median $2,818.38 Typical High $13,182.57 | Professional | None | $1,778.28 | $2,818.38 | $13,182.57 |
United Setting Facility Modifier None Typical Low $398.11 Median $1,148.15 Typical High $2,398.83 | Facility | None | $398.11 | $1,148.15 | $2,398.83 |
United Setting Professional Modifier None Typical Low $1,659.59 Median $2,398.83 Typical High $3,715.35 | Professional | None | $1,659.59 | $2,398.83 | $3,715.35 |
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 $1,148.15 Median $1,230.27 Typical High $1,513.56 | Professional | 54 · Surgery only | $1,148.15 | $1,230.27 | $1,513.56 |
Where Missouri sits
The same service costs 4.8 times more in Alaska than in Delaware. 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· 30th of 51
$2,089
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.