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 $45.71 Median $61.66 Typical High $95.50 | Facility | None | $45.71 | $61.66 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $63.10 Typical High $89.13 | Professional | None | $45.71 | $63.10 | $89.13 |
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 $57.54 Median $85.11 Typical High $117.49 | Professional | None | $57.54 | $85.11 | $117.49 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $87.10 Median $123.03 Typical High $173.78 | Professional | 50 · Both sides | $87.10 | $123.03 | $173.78 |
BCBS Kansas City Setting Professional Modifier None Typical Low $52.48 Median $79.43 Typical High $100.00 | Professional | None | $52.48 | $79.43 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $66.07 Typical High $77.62 | Facility | None | $50.12 | $66.07 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $77.62 Typical High $138.04 | Professional | None | $56.23 | $77.62 | $138.04 |
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 $87.10 Median $446.68 Typical High $575.44 | Professional | None | $87.10 | $446.68 | $575.44 |
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 $57.54 Median $87.10 Typical High $125.89 | Professional | None | $57.54 | $87.10 | $125.89 |
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 $22.91 Median $31.62 Typical High $38.90 | Professional | 52 · Reduced service | $22.91 | $31.62 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $12.59 Typical High $15.49 | Professional | 53 · Discontinued | $9.12 | $12.59 | $15.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.76 Median $9.55 Typical High $11.75 | Professional | 55 · Aftercare only | $6.76 | $9.55 | $11.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $6.31 Typical High $7.76 | Professional | 56 · Pre-op care only | $4.57 | $6.31 | $7.76 |
Where Missouri sits
The same service costs 3.5 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· 28th of 51
$89.13
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.