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 $537.03 Median $2,951.21 Typical High $6,309.57 | Facility | None | $537.03 | $2,951.21 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $363.08 Typical High $446.68 | Professional | None | $144.54 | $363.08 | $446.68 |
Anthem BCBS Setting Facility Modifier None Typical Low $537.03 Median $1,348.96 Typical High $2,630.27 | Facility | None | $537.03 | $1,348.96 | $2,630.27 |
Anthem BCBS Setting Professional Modifier None Typical Low $177.83 Median $354.81 Typical High $562.34 | Professional | None | $177.83 | $354.81 | $562.34 |
BCBS Kansas City Setting Professional Modifier None Typical Low $147.91 Median $446.68 Typical High $616.60 | Professional | None | $147.91 | $446.68 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,230.27 Typical High $2,630.27 | Facility | None | $524.81 | $1,230.27 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $354.81 Typical High $602.56 | Professional | None | $154.88 | $354.81 | $602.56 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $1,445.44 Typical High $12,022.64 | Facility | None | $446.68 | $1,445.44 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $524.81 Median $1,949.84 Typical High $3,090.30 | Professional | None | $524.81 | $1,949.84 | $3,090.30 |
United Setting Facility Modifier None Typical Low $562.34 Median $1,548.82 Typical High $3,235.94 | Facility | None | $562.34 | $1,548.82 | $3,235.94 |
United Setting Professional Modifier None Typical Low $181.97 Median $371.54 Typical High $741.31 | Professional | None | $181.97 | $371.54 | $741.31 |
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 $72.44 Median $162.18 Typical High $223.87 | Professional | 52 · Reduced service | $72.44 | $162.18 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $64.57 Typical High $89.13 | Professional | 53 · Discontinued | $28.84 | $64.57 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $109.65 Median $245.47 Typical High $338.84 | Professional | 54 · Surgery only | $109.65 | $245.47 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $48.98 Typical High $67.61 | Professional | 55 · Aftercare only | $21.88 | $48.98 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $32.36 Typical High $44.67 | Professional | 56 · Pre-op care only | $14.45 | $32.36 | $44.67 |
Where Missouri sits
The same service costs 4.5 times more in Alaska than in Washington, DC. 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· 25th of 51
$389
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.