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 $1,348.96 Median $4,677.35 Typical High $7,762.47 | Facility | None | $1,348.96 | $4,677.35 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $1,348.96 Typical High $1,548.82 | Professional | None | $354.81 | $1,348.96 | $1,548.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,318.26 Median $3,467.37 Typical High $7,079.46 | Facility | None | $1,318.26 | $3,467.37 | $7,079.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $363.08 Median $1,071.52 Typical High $2,089.30 | Professional | None | $363.08 | $1,071.52 | $2,089.30 |
BCBS Kansas City Setting Professional Modifier None Typical Low $331.13 Median $1,148.15 Typical High $1,659.59 | Professional | None | $331.13 | $1,148.15 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $2,754.23 Typical High $3,981.07 | Facility | None | $707.95 | $2,754.23 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $1,096.48 Typical High $2,630.27 | Professional | None | $331.13 | $1,096.48 | $2,630.27 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $2,290.87 Typical High $6,606.93 | Facility | None | $54.95 | $2,290.87 | $6,606.93 |
Medica Setting Professional Modifier None Typical Low $2,041.74 Median $4,786.30 Typical High $9,120.11 | Professional | None | $2,041.74 | $4,786.30 | $9,120.11 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $3,467.37 Typical High $6,918.31 | Facility | None | $1,000.00 | $3,467.37 | $6,918.31 |
United Setting Professional Modifier None Typical Low $501.19 Median $1,348.96 Typical High $3,162.28 | Professional | None | $501.19 | $1,348.96 | $3,162.28 |
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 $177.83 Median $281.84 Typical High $776.25 | Professional | 52 · Reduced service | $177.83 | $281.84 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $112.20 Typical High $309.03 | Professional | 53 · Discontinued | $70.79 | $112.20 | $309.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $426.58 Typical High $1,148.15 | Professional | 54 · Surgery only | $263.03 | $426.58 | $1,148.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $85.11 Typical High $234.42 | Professional | 55 · Aftercare only | $53.70 | $85.11 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $56.23 Typical High $154.88 | Professional | 56 · Pre-op care only | $35.48 | $56.23 | $154.88 |
Where Missouri sits
The same service costs 5.1 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· 24th of 51
$1,549
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.