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 $1,258.93 Median $4,677.35 Typical High $8,912.51 | Facility | None | $1,258.93 | $4,677.35 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $1,548.82 Typical High $2,041.74 | Professional | None | $165.96 | $1,548.82 | $2,041.74 |
Ambetter Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,949.84 | $1,949.84 | $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 $194.98 Median $891.25 Typical High $3,890.45 | Professional | None | $194.98 | $891.25 | $3,890.45 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $295.12 Median $1,348.96 Typical High $5,754.40 | Professional | 50 · Both sides | $295.12 | $1,348.96 | $5,754.40 |
BCBS Kansas City Setting Professional Modifier None Typical Low $158.49 Median $1,548.82 Typical High $2,238.72 | Professional | None | $158.49 | $1,548.82 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $2,137.96 Typical High $12,589.25 | Facility | None | $1,318.26 | $2,137.96 | $12,589.25 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $467.74 Typical High $3,890.45 | Professional | None | $173.78 | $467.74 | $3,890.45 |
Medica Setting Facility Modifier None Typical Low $794.33 Median $3,715.35 Typical High $6,760.83 | Facility | None | $794.33 | $3,715.35 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $2,344.23 Median $10,964.78 Typical High $19,054.61 | Professional | None | $2,344.23 | $10,964.78 | $19,054.61 |
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 $229.09 Median $1,479.11 Typical High $3,630.78 | Professional | None | $229.09 | $1,479.11 | $3,630.78 |
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 $123.03 Median $295.12 Typical High $1,258.93 | Professional | 54 · Surgery only | $123.03 | $295.12 | $1,258.93 |
Where Missouri sits
The same service costs 10.5 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· 19th of 51
$1,862
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.