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 $114.82 Median $123.03 Typical High $138.04 | Professional | None | $114.82 | $123.03 | $138.04 |
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 $100.00 Median $131.83 Typical High $199.53 | Professional | None | $100.00 | $131.83 | $199.53 |
BCBS Kansas City Setting Professional Modifier None Typical Low $128.82 Median $138.04 Typical High $162.18 | Professional | None | $128.82 | $138.04 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $851.14 Typical High $2,691.53 | Facility | None | $588.84 | $851.14 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $125.89 Typical High $251.19 | Professional | None | $114.82 | $125.89 | $251.19 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,174.90 Typical High $3,715.35 | Facility | None | $54.95 | $1,174.90 | $3,715.35 |
Medica Setting Professional Modifier None Typical Low $144.54 Median $398.11 Typical High $891.25 | Professional | None | $144.54 | $398.11 | $891.25 |
United Setting Facility Modifier None Typical Low $562.34 Median $1,513.56 Typical High $3,235.94 | Facility | None | $562.34 | $1,513.56 | $3,235.94 |
United Setting Professional Modifier None Typical Low $114.82 Median $173.78 Typical High $295.12 | Professional | None | $114.82 | $173.78 | $295.12 |
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 $57.54 Median $60.26 Typical High $69.18 | Professional | 52 · Reduced service | $57.54 | $60.26 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $23.99 Typical High $27.54 | Professional | 53 · Discontinued | $22.91 | $23.99 | $27.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $89.13 Typical High $104.71 | Professional | 54 · Surgery only | $85.11 | $89.13 | $104.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $17.78 Typical High $20.89 | Professional | 55 · Aftercare only | $16.98 | $17.78 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $12.02 Typical High $13.80 | Professional | 56 · Pre-op care only | $11.48 | $12.02 | $13.80 |
Where Missouri sits
The same service costs 6.0 times more in Alaska than in Kentucky. 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· 35th of 51
$141
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.