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 $1,548.82 Median $3,981.07 Typical High $7,762.47 | Facility | None | $1,548.82 | $3,981.07 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $114.82 Typical High $138.04 | Professional | None | $109.65 | $114.82 | $138.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $102.33 Median $117.49 Typical High $173.78 | Professional | None | $102.33 | $117.49 | $173.78 |
BCBS Kansas City Setting Professional Modifier None Typical Low $91.20 Median $100.00 Typical High $141.25 | Professional | None | $91.20 | $100.00 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $363.08 Typical High $2,691.53 | Facility | None | $239.88 | $363.08 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $117.49 Typical High $204.17 | Professional | None | $100.00 | $117.49 | $204.17 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $275.42 Typical High $1,584.89 | Facility | None | $54.95 | $275.42 | $1,584.89 |
Medica Setting Professional Modifier None Typical Low $123.03 Median $891.25 Typical High $891.25 | Professional | None | $123.03 | $891.25 | $891.25 |
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 $102.33 Median $154.88 Typical High $218.78 | Professional | None | $102.33 | $154.88 | $218.78 |
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 $54.95 Median $54.95 Typical High $69.18 | Professional | 52 · Reduced service | $54.95 | $54.95 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $27.54 | Professional | 53 · Discontinued | $21.88 | $21.88 | $27.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $83.18 Typical High $104.71 | Professional | 54 · Surgery only | $83.18 | $83.18 | $104.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $16.60 Typical High $20.89 | Professional | 55 · Aftercare only | $16.60 | $16.60 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $10.96 Typical High $13.80 | Professional | 56 · Pre-op care only | $10.96 | $10.96 | $13.80 |
Where Missouri sits
The same service costs 4.8 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· 33rd of 51
$126
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.