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 $1,148.15 Median $3,162.28 Typical High $7,762.47 | Facility | None | $1,148.15 | $3,162.28 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $537.03 Typical High $1,445.44 | Professional | None | $467.74 | $537.03 | $1,445.44 |
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 $407.38 Median $478.63 Typical High $891.25 | Professional | None | $407.38 | $478.63 | $891.25 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $64.57 Median $75.86 Typical High $144.54 | Professional | 80 · Assistant surgeon | $64.57 | $75.86 | $144.54 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $57.54 Median $67.61 Typical High $125.89 | Professional | AS · PA/NP assist | $57.54 | $67.61 | $125.89 |
BCBS Kansas City Setting Professional Modifier None Typical Low $398.11 Median $426.58 Typical High $616.60 | Professional | None | $398.11 | $426.58 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $1,621.81 Median $2,951.21 Typical High $6,760.83 | Facility | None | $1,621.81 | $2,951.21 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $549.54 Typical High $1,047.13 | Professional | None | $457.09 | $549.54 | $1,047.13 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $2,089.30 Typical High $12,589.25 | Facility | None | $54.95 | $2,089.30 | $12,589.25 |
Medica Setting Professional Modifier None Typical Low $489.78 Median $1,148.15 Typical High $4,168.69 | Professional | None | $489.78 | $1,148.15 | $4,168.69 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $3,548.13 Typical High $17,378.01 | Facility | None | $1,000.00 | $3,548.13 | $17,378.01 |
United Setting Professional Modifier None Typical Low $457.09 Median $645.65 Typical High $1,288.25 | Professional | None | $457.09 | $645.65 | $1,288.25 |
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 $354.81 Median $398.11 Typical High $436.52 | Professional | 54 · Surgery only | $354.81 | $398.11 | $436.52 |
Where Missouri sits
The same service costs 4.3 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· 35th of 51
$603
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.