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 $2,511.89 Median $4,897.79 Typical High $7,762.47 | Facility | None | $2,511.89 | $4,897.79 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $2,630.27 Median $3,019.95 Typical High $3,235.94 | Professional | None | $2,630.27 | $3,019.95 | $3,235.94 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,479.11 Median $3,467.37 Typical High $7,762.47 | Facility | None | $1,479.11 | $3,467.37 | $7,762.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,398.83 Median $2,754.23 Typical High $5,128.61 | Professional | None | $2,398.83 | $2,754.23 | $5,128.61 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $380.19 Median $446.68 Typical High $812.83 | Professional | 80 · Assistant surgeon | $380.19 | $446.68 | $812.83 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $338.84 Median $389.05 Typical High $724.44 | Professional | AS · PA/NP assist | $338.84 | $389.05 | $724.44 |
BCBS Kansas City Setting Professional Modifier None Typical Low $2,344.23 Median $2,570.40 Typical High $3,388.44 | Professional | None | $2,344.23 | $2,570.40 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $691.83 Typical High $2,691.53 | Facility | None | $489.78 | $691.83 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $2,398.83 Median $3,311.31 Typical High $7,244.36 | Professional | None | $2,398.83 | $3,311.31 | $7,244.36 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,230.27 Typical High $10,964.78 | Facility | None | $54.95 | $1,230.27 | $10,964.78 |
Medica Setting Professional Modifier None Typical Low $3,548.13 Median $6,165.95 Typical High $17,782.79 | Professional | None | $3,548.13 | $6,165.95 | $17,782.79 |
United Setting Facility Modifier None Typical Low $467.74 Median $2,290.87 Typical High $10,964.78 | Facility | None | $467.74 | $2,290.87 | $10,964.78 |
United Setting Professional Modifier None Typical Low $2,884.03 Median $4,466.84 Typical High $7,585.78 | Professional | None | $2,884.03 | $4,466.84 | $7,585.78 |
5 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 $1,318.26 Median $1,513.56 Typical High $1,621.81 | Professional | 52 · Reduced service | $1,318.26 | $1,513.56 | $1,621.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $524.81 Median $602.56 Typical High $645.65 | Professional | 53 · Discontinued | $524.81 | $602.56 | $645.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,995.26 Median $2,290.87 Typical High $2,454.71 | Professional | 54 · Surgery only | $1,995.26 | $2,290.87 | $2,454.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $398.11 Median $457.09 Typical High $489.78 | Professional | 55 · Aftercare only | $398.11 | $457.09 | $489.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $263.03 Median $302.00 Typical High $323.59 | Professional | 56 · Pre-op care only | $263.03 | $302.00 | $323.59 |
Where Missouri sits
The same service costs 5.8 times more in Alaska than in Arkansas. 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
$3,020
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.