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 $251.19 Median $3,715.35 Typical High $7,762.47 | Facility | None | $251.19 | $3,715.35 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $199.53 Typical High $302.00 | Professional | None | $89.13 | $199.53 | $302.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $446.68 Median $1,621.81 Typical High $3,890.45 | Facility | None | $446.68 | $1,621.81 | $3,890.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $97.72 Median $177.83 Typical High $338.84 | Professional | None | $97.72 | $177.83 | $338.84 |
BCBS Kansas City Setting Professional Modifier None Typical Low $83.18 Median $208.93 Typical High $288.40 | Professional | None | $83.18 | $208.93 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $2,041.74 Typical High $2,884.03 | Facility | None | $478.63 | $2,041.74 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $181.97 Typical High $389.05 | Professional | None | $81.28 | $181.97 | $389.05 |
Medica Setting Facility Modifier None Typical Low $338.84 Median $1,096.48 Typical High $12,022.64 | Facility | None | $338.84 | $1,096.48 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $288.40 Median $1,584.89 Typical High $2,344.23 | Professional | None | $288.40 | $1,584.89 | $2,344.23 |
United Setting Facility Modifier None Typical Low $398.11 Median $1,148.15 Typical High $2,691.53 | Facility | None | $398.11 | $1,148.15 | $2,691.53 |
United Setting Professional Modifier None Typical Low $131.83 Median $257.04 Typical High $457.09 | Professional | None | $131.83 | $257.04 | $457.09 |
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 $44.67 Median $74.13 Typical High $117.49 | Professional | 52 · Reduced service | $44.67 | $74.13 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $29.51 Typical High $46.77 | Professional | 53 · Discontinued | $17.78 | $29.51 | $46.77 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $66.07 Median $109.65 Typical High $177.83 | Professional | 54 · Surgery only | $66.07 | $109.65 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $21.88 Typical High $35.48 | Professional | 55 · Aftercare only | $13.18 | $21.88 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $14.79 Typical High $23.44 | Professional | 56 · Pre-op care only | $8.91 | $14.79 | $23.44 |
Where Missouri sits
The same service costs 4.1 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· 33rd of 51
$251
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.