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 $1,148.15 Median $3,162.28 Typical High $7,762.47 | Facility | None | $1,148.15 | $3,162.28 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $478.63 Typical High $549.54 | Professional | None | $446.68 | $478.63 | $549.54 |
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 $426.58 Median $524.81 Typical High $758.58 | Professional | None | $426.58 | $524.81 | $758.58 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $269.15 Median $331.13 Typical High $478.63 | Professional | 62 · Two surgeons | $269.15 | $331.13 | $478.63 |
BCBS Setting Professional Modifier None Typical Low $416.87 Median $457.09 Typical High $660.69 | Professional | None | $416.87 | $457.09 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $3,801.89 Typical High $5,248.07 | Facility | None | $1,202.26 | $3,801.89 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $501.19 Typical High $933.25 | Professional | None | $457.09 | $501.19 | $933.25 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,819.70 Typical High $16,595.87 | Facility | None | $54.95 | $1,819.70 | $16,595.87 |
Medica Setting Professional Modifier None Typical Low $562.34 Median $1,174.90 Typical High $4,466.84 | Professional | None | $562.34 | $1,174.90 | $4,466.84 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $2,818.38 Typical High $5,495.41 | Facility | None | $1,000.00 | $2,818.38 | $5,495.41 |
United Setting Professional Modifier None Typical Low $446.68 Median $660.69 Typical High $1,174.90 | Professional | None | $446.68 | $660.69 | $1,174.90 |
1 more rate 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 54 · Surgery only Typical Low $338.84 Median $346.74 Typical High $407.38 | Professional | 54 · Surgery only | $338.84 | $346.74 | $407.38 |
Where Missouri sits
The same service costs 4.6 times more in Alaska than in Utah. 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
$550
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.