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 $3,715.35 Typical High $6,309.57 | Facility | None | $1,548.82 | $3,715.35 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $1,548.82 Typical High $2,041.74 | Professional | None | $346.74 | $1,548.82 | $2,041.74 |
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 $380.19 Median $1,380.38 Typical High $2,570.40 | Professional | None | $380.19 | $1,380.38 | $2,570.40 |
BCBS Kansas City Setting Professional Modifier None Typical Low $363.08 Median $2,137.96 Typical High $4,466.84 | Professional | None | $363.08 | $2,137.96 | $4,466.84 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $2,137.96 Typical High $6,760.83 | Facility | None | $707.95 | $2,137.96 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $977.24 Typical High $3,548.13 | Professional | None | $398.11 | $977.24 | $3,548.13 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,949.84 Typical High $5,888.44 | Facility | None | $54.95 | $1,949.84 | $5,888.44 |
Medica Setting Professional Modifier None Typical Low $2,187.76 Median $5,888.44 Typical High $12,302.69 | Professional | None | $2,187.76 | $5,888.44 | $12,302.69 |
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 $457.09 Median $1,479.11 Typical High $3,548.13 | Professional | None | $457.09 | $1,479.11 | $3,548.13 |
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 $173.78 Median $436.52 Typical High $954.99 | Professional | 52 · Reduced service | $173.78 | $436.52 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $177.83 Typical High $380.19 | Professional | 53 · Discontinued | $69.18 | $177.83 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $660.69 Typical High $1,445.44 | Professional | 54 · Surgery only | $263.03 | $660.69 | $1,445.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $131.83 Typical High $288.40 | Professional | 55 · Aftercare only | $52.48 | $131.83 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $87.10 Typical High $190.55 | Professional | 56 · Pre-op care only | $34.67 | $87.10 | $190.55 |
Where Missouri sits
The same service costs 3.6 times more in Iowa 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· 31st of 51
$1,698
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.