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 $165.96 Median $3,162.28 Typical High $7,762.47 | Facility | None | $165.96 | $3,162.28 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $141.25 Typical High $177.83 | Professional | None | $91.20 | $141.25 | $177.83 |
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 $87.10 Median $134.90 Typical High $218.78 | Professional | None | $87.10 | $134.90 | $218.78 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $131.83 Median $199.53 Typical High $331.13 | Professional | 50 · Both sides | $131.83 | $199.53 | $331.13 |
BCBS Kansas City Setting Professional Modifier None Typical Low $83.18 Median $138.04 Typical High $186.21 | Professional | None | $83.18 | $138.04 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $2,137.96 Typical High $2,691.53 | Facility | None | $575.44 | $2,137.96 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $144.54 Typical High $309.03 | Professional | None | $85.11 | $144.54 | $309.03 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $251.19 Typical High $1,096.48 | Facility | None | $54.95 | $251.19 | $1,096.48 |
Medica Setting Professional Modifier None Typical Low $199.53 Median $630.96 Typical High $1,000.00 | Professional | None | $199.53 | $630.96 | $1,000.00 |
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 $125.89 Median $213.80 Typical High $389.05 | Professional | None | $125.89 | $213.80 | $389.05 |
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 $45.71 Median $70.79 Typical High $89.13 | Professional | 52 · Reduced service | $45.71 | $70.79 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $28.84 Typical High $35.48 | Professional | 53 · Discontinued | $18.20 | $28.84 | $35.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $69.18 Median $107.15 Typical High $131.83 | Professional | 54 · Surgery only | $69.18 | $107.15 | $131.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $21.38 Typical High $26.30 | Professional | 55 · Aftercare only | $13.80 | $21.38 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $14.45 Typical High $17.78 | Professional | 56 · Pre-op care only | $9.12 | $14.45 | $17.78 |
Where Missouri sits
The same service costs 3.7 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· 37th of 51
$155
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.