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 $239.88 Median $4,677.35 Typical High $8,912.51 | Facility | None | $239.88 | $4,677.35 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $1,513.56 Typical High $2,041.74 | Professional | None | $147.91 | $1,513.56 | $2,041.74 |
Ambetter Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,949.84 | Professional | None | $977.24 | $977.24 | $1,949.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $562.34 Median $1,348.96 Typical High $5,011.87 | Facility | None | $562.34 | $1,348.96 | $5,011.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $169.82 Median $758.58 Typical High $2,754.23 | Professional | None | $169.82 | $758.58 | $2,754.23 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $251.19 Median $1,122.02 Typical High $4,168.69 | Professional | 50 · Both sides | $251.19 | $1,122.02 | $4,168.69 |
BCBS Kansas City Setting Professional Modifier None Typical Low $141.25 Median $1,513.56 Typical High $2,238.72 | Professional | None | $141.25 | $1,513.56 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $4,265.80 Typical High $12,589.25 | Facility | None | $1,659.59 | $4,265.80 | $12,589.25 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $407.38 Typical High $3,548.13 | Professional | None | $154.88 | $407.38 | $3,548.13 |
Medica Setting Facility Modifier None Typical Low $794.33 Median $3,388.44 Typical High $6,760.83 | Facility | None | $794.33 | $3,388.44 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $2,290.87 Median $6,025.60 Typical High $12,022.64 | Professional | None | $2,290.87 | $6,025.60 | $12,022.64 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $3,548.13 Typical High $7,585.78 | Facility | None | $1,000.00 | $3,548.13 | $7,585.78 |
United Setting Professional Modifier None Typical Low $199.53 Median $1,445.44 Typical High $3,467.37 | Professional | None | $199.53 | $1,445.44 | $3,467.37 |
1 more rate 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 54 · Surgery only Typical Low $109.65 Median $263.03 Typical High $1,230.27 | Professional | 54 · Surgery only | $109.65 | $263.03 | $1,230.27 |
Where Missouri sits
The same service costs 10.0 times more in Alaska than in Nebraska. 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· 26th of 51
$1,778
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.