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 $363.08 Median $3,162.28 Typical High $7,762.47 | Facility | None | $363.08 | $3,162.28 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $316.23 Typical High $416.87 | Professional | None | $141.25 | $316.23 | $416.87 |
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 $158.49 Median $316.23 Typical High $524.81 | Professional | None | $158.49 | $316.23 | $524.81 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $239.88 Median $478.63 Typical High $794.33 | Professional | 50 · Both sides | $239.88 | $478.63 | $794.33 |
BCBS Kansas City Setting Professional Modifier None Typical Low $125.89 Median $302.00 Typical High $426.58 | Professional | None | $125.89 | $302.00 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $1,445.44 Median $2,691.53 Typical High $2,884.03 | Facility | None | $1,445.44 | $2,691.53 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $288.40 Typical High $660.69 | Professional | None | $131.83 | $288.40 | $660.69 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $602.56 Typical High $26,302.68 | Facility | None | $131.83 | $602.56 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $478.63 Median $1,949.84 Typical High $2,398.83 | Professional | None | $478.63 | $1,949.84 | $2,398.83 |
United Setting Facility Modifier None Typical Low $123.03 Median $549.54 Typical High $2,137.96 | Facility | None | $123.03 | $549.54 | $2,137.96 |
United Setting Professional Modifier None Typical Low $204.17 Median $407.38 Typical High $741.31 | Professional | None | $204.17 | $407.38 | $741.31 |
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 $104.71 Median $169.82 Typical High $281.84 | Professional | 54 · Surgery only | $104.71 | $169.82 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $33.88 Typical High $56.23 | Professional | 55 · Aftercare only | $20.89 | $33.88 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $22.91 Typical High $38.02 | Professional | 56 · Pre-op care only | $14.13 | $22.91 | $38.02 |
Where Missouri sits
The same service costs 3.4 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
$380
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.