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 $851.14 Median $3,162.28 Typical High $7,762.47 | Facility | None | $851.14 | $3,162.28 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $44.67 Typical High $95.50 | Professional | None | $36.31 | $44.67 | $95.50 |
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 $50.12 Median $66.07 Typical High $87.10 | Professional | None | $50.12 | $66.07 | $87.10 |
BCBS Kansas City Setting Professional Modifier None Typical Low $43.65 Median $48.98 Typical High $67.61 | Professional | None | $43.65 | $48.98 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $1,698.24 Typical High $2,511.89 | Facility | None | $489.78 | $1,698.24 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $64.57 Typical High $120.23 | Professional | None | $44.67 | $64.57 | $120.23 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $2,754.23 Typical High $12,022.64 | Facility | None | $158.49 | $2,754.23 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $51.29 Median $89.13 Typical High $549.54 | Professional | None | $51.29 | $89.13 | $549.54 |
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 $48.98 Median $66.07 Typical High $123.03 | Professional | None | $48.98 | $66.07 | $123.03 |
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 $26.92 Median $33.88 Typical High $35.48 | Professional | 54 · Surgery only | $26.92 | $33.88 | $35.48 |
Where Missouri sits
The same service costs 20.9 times more in Oklahoma than in Kentucky. 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· 32nd of 51
$70.79
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.