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 $37.15 Median $47.86 Typical High $79.43 | Facility | None | $37.15 | $47.86 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $52.48 Typical High $66.07 | Professional | None | $37.15 | $52.48 | $66.07 |
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 $46.77 Median $56.23 Typical High $75.86 | Professional | None | $46.77 | $56.23 | $75.86 |
BCBS Kansas City Setting Professional Modifier None Typical Low $40.74 Median $66.07 Typical High $83.18 | Professional | None | $40.74 | $66.07 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $51.29 Typical High $66.07 | Facility | None | $38.02 | $51.29 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $66.07 Typical High $102.33 | Professional | None | $45.71 | $66.07 | $102.33 |
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 $69.18 Median $331.13 Typical High $489.78 | Professional | None | $69.18 | $331.13 | $489.78 |
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 $44.67 Median $69.18 Typical High $102.33 | Professional | None | $44.67 | $69.18 | $102.33 |
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 $18.62 Median $26.92 Typical High $33.11 | Professional | 52 · Reduced service | $18.62 | $26.92 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $10.72 Typical High $13.18 | Professional | 53 · Discontinued | $7.41 | $10.72 | $13.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.62 Median $8.13 Typical High $10.00 | Professional | 55 · Aftercare only | $5.62 | $8.13 | $10.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.72 Median $5.37 Typical High $6.61 | Professional | 56 · Pre-op care only | $3.72 | $5.37 | $6.61 |
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· 33rd of 51
$66.07
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.