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 $891.25 Median $3,162.28 Typical High $6,309.57 | Facility | None | $891.25 | $3,162.28 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $794.33 Typical High $1,023.29 | Professional | None | $77.62 | $794.33 | $1,023.29 |
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 $85.11 Median $131.83 Typical High $1,122.02 | Professional | None | $85.11 | $131.83 | $1,122.02 |
BCBS Kansas City Setting Professional Modifier None Typical Low $83.18 Median $954.99 Typical High $1,348.96 | Professional | None | $83.18 | $954.99 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $912.01 Typical High $2,630.27 | Facility | None | $524.81 | $912.01 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $295.12 Typical High $1,412.54 | Professional | None | $83.18 | $295.12 | $1,412.54 |
Medica Setting Facility Modifier None Typical Low $416.87 Median $977.24 Typical High $3,090.30 | Facility | None | $416.87 | $977.24 | $3,090.30 |
Medica Setting Professional Modifier None Typical Low $1,122.02 Median $3,467.37 Typical High $6,918.31 | Professional | None | $1,122.02 | $3,467.37 | $6,918.31 |
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 $91.20 Median $691.83 Typical High $1,698.24 | Professional | None | $91.20 | $691.83 | $1,698.24 |
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 $38.90 Median $316.23 Typical High $512.86 | Professional | 52 · Reduced service | $38.90 | $316.23 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $125.89 Typical High $204.17 | Professional | 53 · Discontinued | $15.49 | $125.89 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $58.88 Median $478.63 Typical High $758.58 | Professional | 54 · Surgery only | $58.88 | $478.63 | $758.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $95.50 Typical High $154.88 | Professional | 55 · Aftercare only | $11.75 | $95.50 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $63.10 Typical High $102.33 | Professional | 56 · Pre-op care only | $7.76 | $63.10 | $102.33 |
Where Missouri sits
The same service costs 14.1 times more in Washington 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· 15th of 51
$871
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.