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 $14.79 Median $23.44 Typical High $33.88 | Facility | None | $14.79 | $23.44 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $25.70 Typical High $33.88 | Professional | None | $14.79 | $25.70 | $33.88 |
Ambetter Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $24.55 | Professional | None | $20.89 | $20.89 | $24.55 |
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 $19.05 Median $28.84 Typical High $45.71 | Professional | None | $19.05 | $28.84 | $45.71 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $28.84 Median $43.65 Typical High $69.18 | Professional | 50 · Both sides | $28.84 | $43.65 | $69.18 |
BCBS Kansas City Setting Professional Modifier None Typical Low $16.22 Median $27.54 Typical High $35.48 | Professional | None | $16.22 | $27.54 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $19.95 Typical High $66.07 | Facility | None | $14.13 | $19.95 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $28.84 Typical High $53.70 | Professional | None | $17.78 | $28.84 | $53.70 |
Medica Setting Facility Modifier None Typical Low $53.70 Median $181.97 Typical High $1,288.25 | Facility | None | $53.70 | $181.97 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $33.11 Median $128.82 Typical High $208.93 | Professional | None | $33.11 | $128.82 | $208.93 |
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 $18.62 Median $33.11 Typical High $48.98 | Professional | None | $18.62 | $33.11 | $48.98 |
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 $7.41 Median $11.75 Typical High $14.79 | Professional | 52 · Reduced service | $7.41 | $11.75 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $4.79 Typical High $5.89 | Professional | 53 · Discontinued | $2.95 | $4.79 | $5.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.24 Median $3.55 Typical High $4.37 | Professional | 55 · Aftercare only | $2.24 | $3.55 | $4.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.48 Median $2.34 Typical High $2.95 | Professional | 56 · Pre-op care only | $1.48 | $2.34 | $2.95 |
Where Missouri sits
The same service costs 3.0 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· 23rd of 51
$33.88
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.