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 $223.87 Median $4,677.35 Typical High $23,988.33 | Facility | None | $223.87 | $4,677.35 | $23,988.33 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $173.78 Typical High $309.03 | Professional | None | $114.82 | $173.78 | $309.03 |
Ambetter Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $204.17 | Professional | None | $186.21 | $186.21 | $204.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $154.88 Median $1,819.70 Typical High $13,489.63 | Facility | None | $154.88 | $1,819.70 | $13,489.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $107.15 Median $173.78 Typical High $316.23 | Professional | None | $107.15 | $173.78 | $316.23 |
BCBS Kansas City Setting Professional Modifier None Typical Low $131.83 Median $218.78 Typical High $302.00 | Professional | None | $131.83 | $218.78 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $245.47 Typical High $1,659.59 | Facility | None | $165.96 | $245.47 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $223.87 Typical High $398.11 | Professional | None | $147.91 | $223.87 | $398.11 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $309.03 Typical High $1,096.48 | Facility | None | $54.95 | $309.03 | $1,096.48 |
Medica Setting Professional Modifier None Typical Low $213.80 Median $1,148.15 Typical High $1,737.80 | Professional | None | $213.80 | $1,148.15 | $1,737.80 |
United Setting Facility Modifier None Typical Low $123.03 Median $602.56 Typical High $2,137.96 | Facility | None | $123.03 | $602.56 | $2,137.96 |
United Setting Professional Modifier None Typical Low $154.88 Median $223.87 Typical High $426.58 | Professional | None | $154.88 | $223.87 | $426.58 |
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 $87.10 Median $131.83 Typical High $169.82 | Professional | 54 · Surgery only | $87.10 | $131.83 | $169.82 |
Where Missouri sits
The same service costs 4.2 times more in Alaska 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
$219
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.