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 $1,548.82 Median $3,981.07 Typical High $7,762.47 | Facility | None | $1,548.82 | $3,981.07 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $389.05 Typical High $1,548.82 | Professional | None | $213.80 | $389.05 | $1,548.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $446.68 Median $1,621.81 Typical High $3,890.45 | Facility | None | $446.68 | $1,621.81 | $3,890.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $446.68 Median $524.81 Typical High $912.01 | Professional | None | $446.68 | $524.81 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $2,137.96 Typical High $2,691.53 | Facility | None | $707.95 | $2,137.96 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $398.11 Typical High $891.25 | Professional | None | $257.04 | $398.11 | $891.25 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,862.09 Typical High $9,332.54 | Facility | None | $54.95 | $1,862.09 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $794.33 Median $1,202.26 Typical High $3,890.45 | Professional | None | $794.33 | $1,202.26 | $3,890.45 |
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 $676.08 Median $933.25 Typical High $1,230.27 | Professional | None | $676.08 | $933.25 | $1,230.27 |
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 $107.15 Median $194.98 Typical High $245.47 | Professional | 52 · Reduced service | $107.15 | $194.98 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $77.62 Typical High $97.72 | Professional | 53 · Discontinued | $42.66 | $77.62 | $97.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $295.12 Typical High $371.54 | Professional | 54 · Surgery only | $158.49 | $295.12 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $58.88 Typical High $74.13 | Professional | 55 · Aftercare only | $31.62 | $58.88 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $38.90 Typical High $48.98 | Professional | 56 · Pre-op care only | $21.38 | $38.90 | $48.98 |
Where Missouri sits
The same service costs 53.7 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· 41st of 51
$661
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.