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 $141.25 Median $3,162.28 Typical High $7,762.47 | Facility | None | $141.25 | $3,162.28 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $114.82 Typical High $154.88 | Professional | None | $83.18 | $114.82 | $154.88 |
Ambetter Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
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 $102.33 Median $123.03 Typical High $173.78 | Professional | None | $102.33 | $123.03 | $173.78 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $154.88 Median $181.97 Typical High $257.04 | Professional | 50 · Both sides | $154.88 | $181.97 | $257.04 |
BCBS Kansas City Setting Professional Modifier None Typical Low $93.33 Median $144.54 Typical High $181.97 | Professional | None | $93.33 | $144.54 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $97.72 Typical High $141.25 | Facility | None | $58.88 | $97.72 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $141.25 Typical High $229.09 | Professional | None | $95.50 | $141.25 | $229.09 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $288.40 Typical High $1,698.24 | Facility | None | $54.95 | $288.40 | $1,698.24 |
Medica Setting Professional Modifier None Typical Low $144.54 Median $724.44 Typical High $1,023.29 | Professional | None | $144.54 | $724.44 | $1,023.29 |
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 $102.33 Median $151.36 Typical High $223.87 | Professional | None | $102.33 | $151.36 | $223.87 |
4 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 $41.69 Median $57.54 Typical High $70.79 | Professional | 52 · Reduced service | $41.69 | $57.54 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $22.91 Typical High $28.18 | Professional | 53 · Discontinued | $16.60 | $22.91 | $28.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $17.38 Typical High $21.38 | Professional | 55 · Aftercare only | $12.59 | $17.38 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $11.48 Typical High $14.13 | Professional | 56 · Pre-op care only | $8.32 | $11.48 | $14.13 |
Where Missouri sits
The same service costs 3.7 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· 34th of 51
$141
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.