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 $602.56 Median $3,162.28 Typical High $7,762.47 | Facility | None | $602.56 | $3,162.28 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $501.19 Typical High $676.08 | Professional | None | $158.49 | $501.19 | $676.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $8,709.64 Median $10,232.93 Typical High $12,882.50 | Facility | None | $8,709.64 | $10,232.93 | $12,882.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $173.78 Median $323.59 Typical High $776.25 | Professional | None | $173.78 | $323.59 | $776.25 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $263.03 Median $489.78 Typical High $1,174.90 | Professional | 50 · Both sides | $263.03 | $489.78 | $1,174.90 |
BCBS Kansas City Setting Professional Modifier None Typical Low $141.25 Median $489.78 Typical High $676.08 | Professional | None | $141.25 | $489.78 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $436.52 Typical High $954.99 | Professional | None | $147.91 | $436.52 | $954.99 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $676.08 Typical High $1,258.93 | Facility | None | $54.95 | $676.08 | $1,258.93 |
Medica Setting Professional Modifier None Typical Low $741.31 Median $2,041.74 Typical High $3,890.45 | Professional | None | $741.31 | $2,041.74 | $3,890.45 |
United Setting Facility Modifier None Typical Low $245.47 Median $870.96 Typical High $3,548.13 | Facility | None | $245.47 | $870.96 | $3,548.13 |
United Setting Professional Modifier None Typical Low $204.17 Median $537.03 Typical High $1,047.13 | Professional | None | $204.17 | $537.03 | $1,047.13 |
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 $79.43 Median $204.17 Typical High $338.84 | Professional | 52 · Reduced service | $79.43 | $204.17 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $83.18 Typical High $134.90 | Professional | 53 · Discontinued | $31.62 | $83.18 | $134.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $309.03 Typical High $512.86 | Professional | 54 · Surgery only | $120.23 | $309.03 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $61.66 Typical High $102.33 | Professional | 55 · Aftercare only | $23.99 | $61.66 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $41.69 Typical High $67.61 | Professional | 56 · Pre-op care only | $15.85 | $41.69 | $67.61 |
Where Missouri sits
The same service costs 3.5 times more in Wisconsin 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· 20th of 51
$525
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.