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 $64.57 Median $85.11 Typical High $141.25 | Facility | None | $64.57 | $85.11 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $91.20 Typical High $112.20 | Professional | None | $64.57 | $91.20 | $112.20 |
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 $79.43 Median $97.72 Typical High $125.89 | Professional | None | $79.43 | $97.72 | $125.89 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $117.49 Median $147.91 Typical High $190.55 | Professional | 50 · Both sides | $117.49 | $147.91 | $190.55 |
BCBS Kansas City Setting Professional Modifier None Typical Low $70.79 Median $114.82 Typical High $141.25 | Professional | None | $70.79 | $114.82 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $74.13 Typical High $102.33 | Facility | None | $58.88 | $74.13 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $109.65 Typical High $173.78 | Professional | None | $72.44 | $109.65 | $173.78 |
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 $114.82 Median $562.34 Typical High $794.33 | Professional | None | $114.82 | $562.34 | $794.33 |
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 $79.43 Median $117.49 Typical High $177.83 | Professional | None | $79.43 | $117.49 | $177.83 |
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 $32.36 Median $44.67 Typical High $56.23 | Professional | 52 · Reduced service | $32.36 | $44.67 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $18.20 Typical High $22.39 | Professional | 53 · Discontinued | $12.88 | $18.20 | $22.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $13.49 Typical High $16.60 | Professional | 55 · Aftercare only | $9.77 | $13.49 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $9.12 Typical High $11.22 | Professional | 56 · Pre-op care only | $6.46 | $9.12 | $11.22 |
Where Missouri sits
The same service costs 3.8 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· 30th of 51
$112
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.