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 $1,995.26 Median $4,897.79 Typical High $7,762.47 | Facility | None | $1,995.26 | $4,897.79 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $1,995.26 Median $2,344.23 Typical High $2,511.89 | Professional | None | $1,995.26 | $2,344.23 | $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 $2,041.74 Median $2,454.71 Typical High $3,981.07 | Professional | None | $2,041.74 | $2,454.71 | $3,981.07 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $331.13 Median $389.05 Typical High $630.96 | Professional | 80 · Assistant surgeon | $331.13 | $389.05 | $630.96 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $288.40 Median $338.84 Typical High $562.34 | Professional | AS · PA/NP assist | $288.40 | $338.84 | $562.34 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1,819.70 Median $1,949.84 Typical High $2,630.27 | Professional | None | $1,819.70 | $1,949.84 | $2,630.27 |
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 $1,819.70 Median $2,398.83 Typical High $5,623.41 | Professional | None | $1,819.70 | $2,398.83 | $5,623.41 |
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 $2,818.38 Median $4,786.30 Typical High $13,803.84 | Professional | None | $2,818.38 | $4,786.30 | $13,803.84 |
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 $2,187.76 Median $3,388.44 Typical High $5,754.40 | Professional | None | $2,187.76 | $3,388.44 | $5,754.40 |
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 $1,513.56 Median $1,737.80 Typical High $1,862.09 | Professional | 54 · Surgery only | $1,513.56 | $1,737.80 | $1,862.09 |
Where Missouri sits
The same service costs 4.7 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· 32nd of 51
$2,570
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.