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 $1,174.90 Median $3,162.28 Typical High $6,309.57 | Facility | None | $1,174.90 | $3,162.28 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $257.04 Typical High $288.40 | Professional | None | $239.88 | $257.04 | $288.40 |
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 $263.03 Median $309.03 Typical High $426.58 | Professional | None | $263.03 | $309.03 | $426.58 |
BCBS Kansas City Setting Professional Modifier None Typical Low $234.42 Median $257.04 Typical High $371.54 | Professional | None | $234.42 | $257.04 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $4,677.35 Typical High $6,918.31 | Facility | None | $707.95 | $4,677.35 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $288.40 Typical High $524.81 | Professional | None | $245.47 | $288.40 | $524.81 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,174.90 Typical High $15,488.17 | Facility | None | $54.95 | $1,174.90 | $15,488.17 |
Medica Setting Professional Modifier None Typical Low $309.03 Median $616.60 Typical High $1,905.46 | Professional | None | $309.03 | $616.60 | $1,905.46 |
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 $245.47 Median $380.19 Typical High $616.60 | Professional | None | $245.47 | $380.19 | $616.60 |
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 $120.23 Median $128.82 Typical High $144.54 | Professional | 52 · Reduced service | $120.23 | $128.82 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $51.29 Typical High $57.54 | Professional | 53 · Discontinued | $47.86 | $51.29 | $57.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $190.55 Typical High $218.78 | Professional | 54 · Surgery only | $177.83 | $190.55 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $38.02 Typical High $43.65 | Professional | 55 · Aftercare only | $35.48 | $38.02 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $25.70 Typical High $28.84 | Professional | 56 · Pre-op care only | $23.99 | $25.70 | $28.84 |
Where Missouri sits
The same service costs 4.3 times more in Alaska than in Florida. 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
$331
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.