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 $1,000.00 Median $4,897.79 Typical High $7,762.47 | Facility | None | $1,000.00 | $4,897.79 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $1,000.00 Typical High $2,511.89 | Professional | None | $851.14 | $1,000.00 | $2,511.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,318.26 Median $3,467.37 Typical High $7,079.46 | Facility | None | $1,318.26 | $3,467.37 | $7,079.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $912.01 Median $1,096.48 Typical High $1,698.24 | Professional | None | $912.01 | $1,096.48 | $1,698.24 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $144.54 Median $177.83 Typical High $269.15 | Professional | 80 · Assistant surgeon | $144.54 | $177.83 | $269.15 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $125.89 Median $154.88 Typical High $234.42 | Professional | AS · PA/NP assist | $125.89 | $154.88 | $234.42 |
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 $1,047.13 Typical High $2,398.83 | Professional | None | $776.25 | $1,047.13 | $2,398.83 |
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 $1,202.26 Median $2,041.74 Typical High $5,888.44 | Professional | None | $1,202.26 | $2,041.74 | $5,888.44 |
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 $933.25 Median $1,445.44 Typical High $2,454.71 | Professional | None | $933.25 | $1,445.44 | $2,454.71 |
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 $645.65 Median $741.31 Typical High $794.33 | Professional | 54 · Surgery only | $645.65 | $741.31 | $794.33 |
Where Missouri sits
The same service costs 3.7 times more in Alaska than in New York. 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· 22nd of 51
$1,259
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.