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 $239.88 Median $309.03 Typical High $602.56 | Professional | None | $239.88 | $309.03 | $602.56 |
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 $281.84 Median $331.13 Typical High $512.86 | Professional | None | $281.84 | $331.13 | $512.86 |
BCBS Kansas City Setting Professional Modifier None Typical Low $234.42 Median $263.03 Typical High $363.08 | Professional | None | $234.42 | $263.03 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $2,137.96 Typical High $2,691.53 | Facility | None | $691.83 | $2,137.96 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $302.00 Typical High $616.60 | Professional | None | $263.03 | $302.00 | $616.60 |
Medica Setting Facility Modifier None Typical Low $645.65 Median $2,754.23 Typical High $26,302.68 | Facility | None | $645.65 | $2,754.23 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $323.59 Median $602.56 Typical High $1,949.84 | Professional | None | $323.59 | $602.56 | $1,949.84 |
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 $281.84 Median $416.87 Typical High $691.83 | Professional | None | $281.84 | $416.87 | $691.83 |
3 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 54 · Surgery only Typical Low $181.97 Median $229.09 Typical High $229.09 | Professional | 54 · Surgery only | $181.97 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $45.71 Typical High $45.71 | Professional | 55 · Aftercare only | $36.31 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $30.20 Typical High $30.90 | Professional | 56 · Pre-op care only | $23.99 | $30.20 | $30.90 |
Where Missouri sits
The same service costs 7.2 times more in Oklahoma 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· 29th of 51
$417
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.