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 $812.83 Median $3,162.28 Typical High $7,762.47 | Facility | None | $812.83 | $3,162.28 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $691.83 Typical High $933.25 | Professional | None | $147.91 | $691.83 | $933.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,318.26 Median $3,467.37 Typical High $7,079.46 | Facility | None | $1,318.26 | $3,467.37 | $7,079.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $169.82 Median $288.40 Typical High $1,174.90 | Professional | None | $169.82 | $288.40 | $1,174.90 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $257.04 Median $436.52 Typical High $1,737.80 | Professional | 50 · Both sides | $257.04 | $436.52 | $1,737.80 |
BCBS Kansas City Setting Professional Modifier None Typical Low $151.36 Median $724.44 Typical High $1,000.00 | Professional | None | $151.36 | $724.44 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $831.76 Typical High $1,659.59 | Facility | None | $524.81 | $831.76 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $426.58 Typical High $1,412.54 | Professional | None | $165.96 | $426.58 | $1,412.54 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,318.26 Typical High $3,467.37 | Facility | None | $54.95 | $1,318.26 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $933.25 Median $2,754.23 Typical High $5,495.41 | Professional | None | $933.25 | $2,754.23 | $5,495.41 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $2,818.38 Typical High $5,495.41 | Facility | None | $1,000.00 | $2,818.38 | $5,495.41 |
United Setting Professional Modifier None Typical Low $204.17 Median $602.56 Typical High $1,584.89 | Professional | None | $204.17 | $602.56 | $1,584.89 |
1 more rate 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 54 · Surgery only Typical Low $109.65 Median $275.42 Typical High $645.65 | Professional | 54 · Surgery only | $109.65 | $275.42 | $645.65 |
Where Missouri sits
The same service costs 4.0 times more in Wisconsin than in Nebraska. 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· 33rd of 51
$759
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.