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 $977.24 Median $4,897.79 Typical High $7,762.47 | Facility | None | $977.24 | $4,897.79 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $977.24 Typical High $1,288.25 | Professional | None | $851.14 | $977.24 | $1,288.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $446.68 Median $1,621.81 Typical High $3,890.45 | Facility | None | $446.68 | $1,621.81 | $3,890.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $812.83 Median $954.99 Typical High $1,479.11 | Professional | None | $812.83 | $954.99 | $1,479.11 |
BCBS Kansas City Setting Professional Modifier None Typical Low $776.25 Median $831.76 Typical High $1,122.02 | Professional | None | $776.25 | $831.76 | $1,122.02 |
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 $776.25 Median $1,071.52 Typical High $2,344.23 | Professional | None | $776.25 | $1,071.52 | $2,344.23 |
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 $1,148.15 Median $1,995.26 Typical High $5,754.40 | Professional | None | $1,148.15 | $1,995.26 | $5,754.40 |
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 $912.01 Median $1,445.44 Typical High $2,454.71 | Professional | None | $912.01 | $1,445.44 | $2,454.71 |
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 $426.58 Median $489.78 Typical High $524.81 | Professional | 52 · Reduced service | $426.58 | $489.78 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $199.53 Typical High $208.93 | Professional | 53 · Discontinued | $169.82 | $199.53 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $741.31 Typical High $794.33 | Professional | 54 · Surgery only | $645.65 | $741.31 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $147.91 Typical High $158.49 | Professional | 55 · Aftercare only | $128.82 | $147.91 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $97.72 Typical High $104.71 | Professional | 56 · Pre-op care only | $85.11 | $97.72 | $104.71 |
Where Missouri sits
The same service costs 4.3 times more in Alaska than in Kentucky. 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· 38th of 51
$1,047
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.