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 $269.15 Median $4,677.35 Typical High $7,762.47 | Facility | None | $269.15 | $4,677.35 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $269.15 Typical High $354.81 | Professional | None | $158.49 | $269.15 | $354.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $204.17 Median $3,467.37 Typical High $7,079.46 | Facility | None | $204.17 | $3,467.37 | $7,079.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $186.21 Median $234.42 Typical High $309.03 | Professional | None | $186.21 | $234.42 | $309.03 |
BCBS Kansas City Setting Professional Modifier None Typical Low $181.97 Median $346.74 Typical High $436.52 | Professional | None | $181.97 | $346.74 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $158.49 Typical High $229.09 | Facility | None | $58.88 | $158.49 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $269.15 Typical High $478.63 | Professional | None | $154.88 | $269.15 | $478.63 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $371.54 Typical High $1,288.25 | Facility | None | $54.95 | $371.54 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $309.03 Median $1,380.38 Typical High $2,398.83 | Professional | None | $309.03 | $1,380.38 | $2,398.83 |
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 $190.55 Median $295.12 Typical High $478.63 | Professional | None | $190.55 | $295.12 | $478.63 |
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 $79.43 Median $131.83 Typical High $165.96 | Professional | 52 · Reduced service | $79.43 | $131.83 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $53.70 Typical High $66.07 | Professional | 53 · Discontinued | $31.62 | $53.70 | $66.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $199.53 Typical High $245.47 | Professional | 54 · Surgery only | $117.49 | $199.53 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $39.81 Typical High $48.98 | Professional | 55 · Aftercare only | $23.44 | $39.81 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $26.92 Typical High $33.11 | Professional | 56 · Pre-op care only | $15.85 | $26.92 | $33.11 |
Where Missouri sits
The same service costs 3.8 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· 39th of 51
$275
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.