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 $36.31 Median $47.86 Typical High $114.82 | Facility | None | $36.31 | $47.86 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $67.61 Typical High $89.13 | Professional | None | $36.31 | $67.61 | $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 $44.67 Median $52.48 Typical High $74.13 | Professional | None | $44.67 | $52.48 | $74.13 |
BCBS Kansas City Setting Professional Modifier None Typical Low $39.81 Median $93.33 Typical High $117.49 | Professional | None | $39.81 | $93.33 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $77.62 Typical High $107.15 | Facility | None | $58.88 | $77.62 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $72.44 Typical High $128.82 | Professional | None | $44.67 | $72.44 | $128.82 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $204.17 Typical High $1,288.25 | Facility | None | $54.95 | $204.17 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $89.13 Median $338.84 Typical High $645.65 | Professional | None | $89.13 | $338.84 | $645.65 |
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 $43.65 Median $77.62 Typical High $128.82 | Professional | None | $43.65 | $77.62 | $128.82 |
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 $18.20 Median $33.88 Typical High $44.67 | Professional | 52 · Reduced service | $18.20 | $33.88 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $13.49 Typical High $17.78 | Professional | 53 · Discontinued | $7.41 | $13.49 | $17.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.50 Median $10.23 Typical High $13.49 | Professional | 55 · Aftercare only | $5.50 | $10.23 | $13.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.63 Median $6.76 Typical High $8.91 | Professional | 56 · Pre-op care only | $3.63 | $6.76 | $8.91 |
Where Missouri sits
The same service costs 3.9 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· 39th of 51
$75.86
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.