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 $1,023.29 Median $4,677.35 Typical High $7,762.47 | Facility | None | $1,023.29 | $4,677.35 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $1,023.29 Typical High $1,584.89 | Professional | None | $288.40 | $1,023.29 | $1,584.89 |
Ambetter Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,288.25 | Professional | None | $812.83 | $812.83 | $1,288.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $446.68 Median $1,621.81 Typical High $5,754.40 | Facility | None | $446.68 | $1,621.81 | $5,754.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $323.59 Median $933.25 Typical High $2,344.23 | Professional | None | $323.59 | $933.25 | $2,344.23 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $489.78 Median $1,380.38 Typical High $3,467.37 | Professional | 50 · Both sides | $489.78 | $1,380.38 | $3,467.37 |
BCBS Kansas City Setting Professional Modifier None Typical Low $257.04 Median $954.99 Typical High $1,348.96 | Professional | None | $257.04 | $954.99 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $1,479.11 Median $2,137.96 Typical High $6,760.83 | Facility | None | $1,479.11 | $2,137.96 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $794.33 Typical High $2,089.30 | Professional | None | $269.15 | $794.33 | $2,089.30 |
Medica Setting Facility Modifier None Typical Low $812.83 Median $3,090.30 Typical High $26,302.68 | Facility | None | $812.83 | $3,090.30 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $1,621.81 Median $9,120.11 Typical High $11,220.18 | Professional | None | $1,621.81 | $9,120.11 | $11,220.18 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $3,548.13 Typical High $7,413.10 | Facility | None | $1,000.00 | $3,548.13 | $7,413.10 |
United Setting Professional Modifier None Typical Low $416.87 Median $1,096.48 Typical High $2,511.89 | Professional | None | $416.87 | $1,096.48 | $2,511.89 |
3 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 54 · Surgery only Typical Low $213.80 Median $346.74 Typical High $891.25 | Professional | 54 · Surgery only | $213.80 | $346.74 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $69.18 Typical High $177.83 | Professional | 55 · Aftercare only | $42.66 | $69.18 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $46.77 Typical High $120.23 | Professional | 56 · Pre-op care only | $28.84 | $46.77 | $120.23 |
Where Missouri sits
The same service costs 4.8 times more in Alaska 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· 24th of 51
$1,288
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.