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 $616.60 Median $660.69 Typical High $758.58 | Professional | None | $616.60 | $660.69 | $758.58 |
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 $588.84 Median $691.83 Typical High $1,023.29 | Professional | None | $588.84 | $691.83 | $1,023.29 |
BCBS Kansas City Setting Professional Modifier None Typical Low $616.60 Median $676.08 Typical High $954.99 | Professional | None | $616.60 | $676.08 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $3,801.89 Typical High $5,495.41 | Facility | None | $707.95 | $3,801.89 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $676.08 Typical High $1,230.27 | Professional | None | $602.56 | $676.08 | $1,230.27 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $2,818.38 Typical High $17,782.79 | Facility | None | $54.95 | $2,818.38 | $17,782.79 |
Medica Setting Professional Modifier None Typical Low $758.58 Median $1,513.56 Typical High $4,897.79 | Professional | None | $758.58 | $1,513.56 | $4,897.79 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,981.07 Typical High $8,709.64 | Facility | None | $1,258.93 | $3,981.07 | $8,709.64 |
United Setting Professional Modifier None Typical Low $616.60 Median $870.96 Typical High $1,548.82 | Professional | None | $616.60 | $870.96 | $1,548.82 |
2 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 54 · Surgery only Typical Low $467.74 Median $478.63 Typical High $562.34 | Professional | 54 · Surgery only | $467.74 | $478.63 | $562.34 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $446.68 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $436.52 | $446.68 | $524.81 |
Where Missouri sits
The same service costs 24.0 times more in Alaska than in Texas. 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· 30th of 51
$741
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.