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 $323.59 Median $5,623.41 Typical High $10,715.19 | Facility | None | $323.59 | $5,623.41 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $257.04 Typical High $338.84 | Professional | None | $186.21 | $257.04 | $338.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $446.68 Median $1,621.81 Typical High $3,981.07 | Facility | None | $446.68 | $1,621.81 | $3,981.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $204.17 Median $234.42 Typical High $363.08 | Professional | None | $204.17 | $234.42 | $363.08 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $302.00 Median $354.81 Typical High $537.03 | Professional | 50 · Both sides | $302.00 | $354.81 | $537.03 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $125.89 Median $147.91 Typical High $223.87 | Professional | 62 · Two surgeons | $125.89 | $147.91 | $223.87 |
BCBS Kansas City Setting Professional Modifier None Typical Low $208.93 Median $302.00 Typical High $380.19 | Professional | None | $208.93 | $302.00 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $269.15 Typical High $2,691.53 | Facility | None | $181.97 | $269.15 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $316.23 Typical High $512.86 | Professional | None | $223.87 | $316.23 | $512.86 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,380.38 Typical High $6,309.57 | Facility | None | $54.95 | $1,380.38 | $6,309.57 |
Medica Setting Professional Modifier None Typical Low $371.54 Median $1,698.24 Typical High $2,344.23 | Professional | None | $371.54 | $1,698.24 | $2,344.23 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $3,548.13 Typical High $7,244.36 | Facility | None | $1,000.00 | $3,548.13 | $7,244.36 |
United Setting Professional Modifier None Typical Low $223.87 Median $346.74 Typical High $501.19 | Professional | None | $223.87 | $346.74 | $501.19 |
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 78 · Unplanned return to OR Typical Low $128.82 Median $181.97 Typical High $223.87 | Professional | 78 · Unplanned return to OR | $128.82 | $181.97 | $223.87 |
Where Missouri sits
The same service costs 5.0 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· 34th of 51
$316
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.