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 $23.44 Median $32.36 Typical High $52.48 | Facility | None | $23.44 | $32.36 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $35.48 Typical High $44.67 | Professional | None | $23.44 | $35.48 | $44.67 |
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 $30.20 Median $39.81 Typical High $54.95 | Professional | None | $30.20 | $39.81 | $54.95 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $42.66 Median $58.88 Typical High $81.28 | Professional | 50 · Both sides | $42.66 | $58.88 | $81.28 |
BCBS Kansas City Setting Professional Modifier None Typical Low $26.92 Median $43.65 Typical High $54.95 | Professional | None | $26.92 | $43.65 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $33.11 Typical High $66.07 | Facility | None | $23.44 | $33.11 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $43.65 Typical High $69.18 | Professional | None | $28.84 | $43.65 | $69.18 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $181.97 Typical High $1,288.25 | Facility | None | $54.95 | $181.97 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $50.12 Median $213.80 Typical High $331.13 | Professional | None | $50.12 | $213.80 | $331.13 |
United Setting Facility Modifier None Typical Low $123.03 Median $537.03 Typical High $2,137.96 | Facility | None | $123.03 | $537.03 | $2,137.96 |
United Setting Professional Modifier None Typical Low $30.20 Median $45.71 Typical High $70.79 | Professional | None | $30.20 | $45.71 | $70.79 |
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 $11.75 Median $17.78 Typical High $22.39 | Professional | 52 · Reduced service | $11.75 | $17.78 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $7.24 Typical High $8.91 | Professional | 53 · Discontinued | $4.68 | $7.24 | $8.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.47 Median $5.37 Typical High $6.61 | Professional | 55 · Aftercare only | $3.47 | $5.37 | $6.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.34 Median $3.55 Typical High $4.47 | Professional | 56 · Pre-op care only | $2.34 | $3.55 | $4.47 |
Where Missouri sits
The same service costs 3.3 times more in Alaska than in Virginia. 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
$45.71
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.