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 $83.18 Median $4,677.35 Typical High $7,762.47 | Facility | None | $83.18 | $4,677.35 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $83.18 Typical High $109.65 | Professional | None | $58.88 | $83.18 | $109.65 |
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 $66.07 Median $75.86 Typical High $107.15 | Professional | None | $66.07 | $75.86 | $107.15 |
BCBS Kansas City Setting Professional Modifier None Typical Low $67.61 Median $109.65 Typical High $138.04 | Professional | None | $67.61 | $109.65 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $85.11 Typical High $117.49 | Facility | None | $58.88 | $85.11 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $97.72 Typical High $162.18 | Professional | None | $64.57 | $97.72 | $162.18 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $251.19 Typical High $1,288.25 | Facility | None | $54.95 | $251.19 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $102.33 Median $512.86 Typical High $758.58 | Professional | None | $102.33 | $512.86 | $758.58 |
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 $67.61 Median $102.33 Typical High $158.49 | Professional | None | $67.61 | $102.33 | $158.49 |
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 $28.84 Median $41.69 Typical High $52.48 | Professional | 52 · Reduced service | $28.84 | $41.69 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $16.98 Typical High $20.89 | Professional | 53 · Discontinued | $11.75 | $16.98 | $20.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $43.65 Median $63.10 Typical High $77.62 | Professional | 54 · Surgery only | $43.65 | $63.10 | $77.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $12.59 Typical High $15.49 | Professional | 55 · Aftercare only | $8.71 | $12.59 | $15.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $8.32 Typical High $10.47 | Professional | 56 · Pre-op care only | $5.89 | $8.32 | $10.47 |
Where Missouri sits
The same service costs 3.8 times more in Alaska than in Florida. 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· 31st of 51
$100
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.