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 $36.31 Median $52.48 Typical High $87.10 | Facility | None | $36.31 | $52.48 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $60.26 Typical High $75.86 | Professional | None | $36.31 | $60.26 | $75.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $204.17 Median $3,467.37 Typical High $7,079.46 | Facility | None | $204.17 | $3,467.37 | $7,079.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $54.95 Median $72.44 Typical High $123.03 | Professional | None | $54.95 | $72.44 | $123.03 |
BCBS Kansas City Setting Professional Modifier None Typical Low $43.65 Median $70.79 Typical High $97.72 | Professional | None | $43.65 | $70.79 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $50.12 Typical High $66.07 | Facility | None | $37.15 | $50.12 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $75.86 Typical High $131.83 | Professional | None | $46.77 | $75.86 | $131.83 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $213.80 Typical High $1,288.25 | Facility | None | $54.95 | $213.80 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $72.44 Median $346.74 Typical High $575.44 | Professional | None | $72.44 | $346.74 | $575.44 |
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 $53.70 Median $77.62 Typical High $134.90 | Professional | None | $53.70 | $77.62 | $134.90 |
4 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 $18.20 Median $30.20 Typical High $37.15 | Professional | 52 · Reduced service | $18.20 | $30.20 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $12.02 Typical High $15.14 | Professional | 53 · Discontinued | $7.41 | $12.02 | $15.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.50 Median $9.12 Typical High $11.22 | Professional | 55 · Aftercare only | $5.50 | $9.12 | $11.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.63 Median $6.03 Typical High $7.59 | Professional | 56 · Pre-op care only | $3.63 | $6.03 | $7.59 |
Where Missouri sits
The same service costs 3.1 times more in Wisconsin than in Florida. 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· 29th of 51
$77.62
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.