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 $1,698.24 Median $4,897.79 Typical High $7,762.47 | Facility | None | $1,698.24 | $4,897.79 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $398.11 Typical High $776.25 | Professional | None | $309.03 | $398.11 | $776.25 |
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 $371.54 Median $489.78 Typical High $691.83 | Professional | None | $371.54 | $489.78 | $691.83 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $562.34 Median $741.31 Typical High $1,023.29 | Professional | 50 · Both sides | $562.34 | $741.31 | $1,023.29 |
BCBS Kansas City Setting Professional Modifier None Typical Low $309.03 Median $338.84 Typical High $478.63 | Professional | None | $309.03 | $338.84 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $2,137.96 Typical High $2,691.53 | Facility | None | $645.65 | $2,137.96 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $446.68 Typical High $794.33 | Professional | None | $346.74 | $446.68 | $794.33 |
Medica Setting Facility Modifier None Typical Low $691.83 Median $2,754.23 Typical High $26,302.68 | Facility | None | $691.83 | $2,754.23 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $416.87 Median $776.25 Typical High $3,162.28 | Professional | None | $416.87 | $776.25 | $3,162.28 |
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 $363.08 Median $549.54 Typical High $891.25 | Professional | None | $363.08 | $549.54 | $891.25 |
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 $154.88 Median $194.98 Typical High $199.53 | Professional | 52 · Reduced service | $154.88 | $194.98 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $77.62 Typical High $79.43 | Professional | 53 · Discontinued | $63.10 | $77.62 | $79.43 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $295.12 Typical High $302.00 | Professional | 54 · Surgery only | $234.42 | $295.12 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $58.88 Typical High $60.26 | Professional | 55 · Aftercare only | $46.77 | $58.88 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $38.90 Typical High $39.81 | Professional | 56 · Pre-op care only | $30.90 | $38.90 | $39.81 |
Where Missouri sits
The same service costs 4.7 times more in Alaska than in New York. 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· 24th of 51
$562
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.