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 $4,677.35 Typical High $8,511.38 | Facility | None | $1,548.82 | $4,677.35 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $354.81 Typical High $398.11 | Professional | None | $323.59 | $354.81 | $398.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,412.54 Median $3,801.89 Typical High $7,079.46 | Facility | None | $1,412.54 | $3,801.89 | $7,079.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $363.08 Median $537.03 Typical High $676.08 | Professional | None | $363.08 | $537.03 | $676.08 |
BCBS Kansas City Setting Professional Modifier None Typical Low $316.23 Median $346.74 Typical High $501.19 | Professional | None | $316.23 | $346.74 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,230.27 Typical High $9,549.93 | Facility | None | $707.95 | $1,230.27 | $9,549.93 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $398.11 Typical High $758.58 | Professional | None | $331.13 | $398.11 | $758.58 |
Medica Setting Facility Modifier None Typical Low $724.44 Median $2,754.23 Typical High $16,218.10 | Facility | None | $724.44 | $2,754.23 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $436.52 Median $2,818.38 Typical High $2,818.38 | Professional | None | $436.52 | $2,818.38 | $2,818.38 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $2,818.38 Typical High $5,888.44 | Facility | None | $1,000.00 | $2,818.38 | $5,888.44 |
United Setting Professional Modifier None Typical Low $331.13 Median $588.84 Typical High $851.14 | Professional | None | $331.13 | $588.84 | $851.14 |
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 $162.18 Median $177.83 Typical High $194.98 | Professional | 52 · Reduced service | $162.18 | $177.83 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $70.79 Typical High $79.43 | Professional | 53 · Discontinued | $64.57 | $70.79 | $79.43 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $263.03 Typical High $295.12 | Professional | 54 · Surgery only | $245.47 | $263.03 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $52.48 Typical High $58.88 | Professional | 55 · Aftercare only | $48.98 | $52.48 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $35.48 Typical High $39.81 | Professional | 56 · Pre-op care only | $32.36 | $35.48 | $39.81 |
Where Missouri sits
The same service costs 4.8 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· 14th of 51
$589
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.