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 $812.83 Median $3,715.35 Typical High $7,762.47 | Facility | None | $812.83 | $3,715.35 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $389.05 Typical High $467.74 | Professional | None | $85.11 | $389.05 | $467.74 |
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 $91.20 Median $323.59 Typical High $588.84 | Professional | None | $91.20 | $323.59 | $588.84 |
BCBS Kansas City Setting Professional Modifier None Typical Low $77.62 Median $354.81 Typical High $478.63 | Professional | None | $77.62 | $354.81 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $501.19 Typical High $2,691.53 | Facility | None | $338.84 | $501.19 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $204.17 Typical High $812.83 | Professional | None | $79.43 | $204.17 | $812.83 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $645.65 Typical High $1,949.84 | Facility | None | $54.95 | $645.65 | $1,949.84 |
Medica Setting Professional Modifier None Typical Low $575.44 Median $1,318.26 Typical High $2,691.53 | Professional | None | $575.44 | $1,318.26 | $2,691.53 |
United Setting Facility Modifier None Typical Low $398.11 Median $1,148.15 Typical High $2,238.72 | Facility | None | $398.11 | $1,148.15 | $2,238.72 |
United Setting Professional Modifier None Typical Low $128.82 Median $363.08 Typical High $954.99 | Professional | None | $128.82 | $363.08 | $954.99 |
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 $42.66 Median $69.18 Typical High $229.09 | Professional | 52 · Reduced service | $42.66 | $69.18 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $28.18 Typical High $91.20 | Professional | 53 · Discontinued | $16.98 | $28.18 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $104.71 Typical High $346.74 | Professional | 54 · Surgery only | $63.10 | $104.71 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $20.89 Typical High $69.18 | Professional | 55 · Aftercare only | $12.59 | $20.89 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $14.13 Typical High $45.71 | Professional | 56 · Pre-op care only | $8.51 | $14.13 | $45.71 |
Where Missouri sits
The same service costs 7.8 times more in Oklahoma 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· 31st of 51
$437
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.