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 $2,089.30 Median $4,466.84 Typical High $8,709.64 | Facility | None | $2,089.30 | $4,466.84 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $407.38 Typical High $446.68 | Professional | None | $371.54 | $407.38 | $446.68 |
Anthem BCBS Setting Facility Modifier None Typical Low $512.86 Median $1,230.27 Typical High $2,511.89 | Facility | None | $512.86 | $1,230.27 | $2,511.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $416.87 Median $512.86 Typical High $741.31 | Professional | None | $416.87 | $512.86 | $741.31 |
BCBS Kansas City Setting Professional Modifier None Typical Low $363.08 Median $398.11 Typical High $575.44 | Professional | None | $363.08 | $398.11 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $1,621.81 Median $5,623.41 Typical High $6,760.83 | Facility | None | $1,621.81 | $5,623.41 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $446.68 Typical High $851.14 | Professional | None | $380.19 | $446.68 | $851.14 |
Medica Setting Facility Modifier None Typical Low $707.95 Median $3,715.35 Typical High $26,302.68 | Facility | None | $707.95 | $3,715.35 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $501.19 Median $3,311.31 Typical High $3,311.31 | Professional | None | $501.19 | $3,311.31 | $3,311.31 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $3,311.31 Typical High $6,918.31 | Facility | None | $1,000.00 | $3,311.31 | $6,918.31 |
United Setting Professional Modifier None Typical Low $380.19 Median $616.60 Typical High $977.24 | Professional | None | $380.19 | $616.60 | $977.24 |
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 $186.21 Median $199.53 Typical High $223.87 | Professional | 52 · Reduced service | $186.21 | $199.53 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $79.43 Typical High $91.20 | Professional | 53 · Discontinued | $74.13 | $79.43 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $302.00 Typical High $338.84 | Professional | 54 · Surgery only | $275.42 | $302.00 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $60.26 Typical High $67.61 | Professional | 55 · Aftercare only | $56.23 | $60.26 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $39.81 Typical High $44.67 | Professional | 56 · Pre-op care only | $37.15 | $39.81 | $44.67 |
Where Missouri sits
The same service costs 4.5 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· 29th of 51
$537
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.