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 $1,148.15 Median $3,162.28 Typical High $7,762.47 | Facility | None | $1,148.15 | $3,162.28 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $53.70 Typical High $63.10 | Professional | None | $52.48 | $53.70 | $63.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $50.12 Median $69.18 Typical High $112.20 | Professional | None | $50.12 | $69.18 | $112.20 |
BCBS Kansas City Setting Professional Modifier None Typical Low $43.65 Median $47.86 Typical High $72.44 | Professional | None | $43.65 | $47.86 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $363.08 Typical High $1,659.59 | Facility | None | $239.88 | $363.08 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $54.95 Typical High $109.65 | Professional | None | $47.86 | $54.95 | $109.65 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $309.03 Typical High $1,348.96 | Facility | None | $54.95 | $309.03 | $1,348.96 |
Medica Setting Professional Modifier None Typical Low $67.61 Median $478.63 Typical High $478.63 | Professional | None | $67.61 | $478.63 | $478.63 |
United Setting Facility Modifier None Typical Low $123.03 Median $602.56 Typical High $2,137.96 | Facility | None | $123.03 | $602.56 | $2,137.96 |
United Setting Professional Modifier None Typical Low $47.86 Median $81.28 Typical High $104.71 | Professional | None | $47.86 | $81.28 | $104.71 |
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 $26.30 Median $26.92 Typical High $31.62 | Professional | 52 · Reduced service | $26.30 | $26.92 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.72 Typical High $12.59 | Professional | 53 · Discontinued | $10.47 | $10.72 | $12.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $39.81 Median $39.81 Typical High $47.86 | Professional | 54 · Surgery only | $39.81 | $39.81 | $47.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.94 Median $8.13 Typical High $9.55 | Professional | 55 · Aftercare only | $7.94 | $8.13 | $9.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.25 Median $5.37 Typical High $6.31 | Professional | 56 · Pre-op care only | $5.25 | $5.37 | $6.31 |
Where Missouri sits
The same service costs 4.2 times more in Alaska than in Florida. 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· 19th of 51
$77.62
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.