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 $158.49 Median $3,162.28 Typical High $6,309.57 | Facility | None | $158.49 | $3,162.28 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $128.82 Typical High $186.21 | Professional | None | $58.88 | $128.82 | $186.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $151.36 Median $1,621.81 Typical High $3,890.45 | Facility | None | $151.36 | $1,621.81 | $3,890.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $70.79 Median $138.04 Typical High $208.93 | Professional | None | $70.79 | $138.04 | $208.93 |
BCBS Kansas City Setting Professional Modifier None Typical Low $63.10 Median $162.18 Typical High $245.47 | Professional | None | $63.10 | $162.18 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $213.80 Typical High $2,691.53 | Facility | None | $144.54 | $213.80 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $141.25 Typical High $234.42 | Professional | None | $63.10 | $141.25 | $234.42 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $812.83 Typical High $2,951.21 | Facility | None | $54.95 | $812.83 | $2,951.21 |
Medica Setting Professional Modifier None Typical Low $173.78 Median $831.76 Typical High $1,230.27 | Professional | None | $173.78 | $831.76 | $1,230.27 |
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 $74.13 Median $141.25 Typical High $275.42 | Professional | None | $74.13 | $141.25 | $275.42 |
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 $29.51 Median $56.23 Typical High $91.20 | Professional | 52 · Reduced service | $29.51 | $56.23 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $22.39 Typical High $36.31 | Professional | 53 · Discontinued | $11.75 | $22.39 | $36.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $44.67 Median $85.11 Typical High $134.90 | Professional | 54 · Surgery only | $44.67 | $85.11 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $16.98 Typical High $26.92 | Professional | 55 · Aftercare only | $8.91 | $16.98 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $11.22 Typical High $18.20 | Professional | 56 · Pre-op care only | $5.89 | $11.22 | $18.20 |
Where Missouri sits
The same service costs 3.7 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· 21st of 51
$155
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.