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 $102.33 Median $3,235.94 Typical High $6,309.57 | Facility | None | $102.33 | $3,235.94 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $107.15 Typical High $181.97 | Professional | None | $79.43 | $107.15 | $181.97 |
Ambetter Setting Professional Modifier None Typical Low $93.33 Median $104.71 Typical High $165.96 | Professional | None | $93.33 | $104.71 | $165.96 |
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 $97.72 Median $123.03 Typical High $199.53 | Professional | None | $97.72 | $123.03 | $199.53 |
BCBS Kansas City Setting Professional Modifier None Typical Low $85.11 Median $125.89 Typical High $169.82 | Professional | None | $85.11 | $125.89 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $102.33 Typical High $1,659.59 | Facility | None | $67.61 | $102.33 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $128.82 Typical High $234.42 | Professional | None | $89.13 | $128.82 | $234.42 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $281.84 Typical High $1,380.38 | Facility | None | $54.95 | $281.84 | $1,380.38 |
Medica Setting Professional Modifier None Typical Low $123.03 Median $676.08 Typical High $933.25 | Professional | None | $123.03 | $676.08 | $933.25 |
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 $100.00 Median $134.90 Typical High $245.47 | Professional | None | $100.00 | $134.90 | $245.47 |
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 $34.67 Median $48.98 Typical High $61.66 | Professional | 52 · Reduced service | $34.67 | $48.98 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $19.50 Typical High $24.55 | Professional | 53 · Discontinued | $13.80 | $19.50 | $24.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $52.48 Median $72.44 Typical High $91.20 | Professional | 54 · Surgery only | $52.48 | $72.44 | $91.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $14.45 Typical High $18.62 | Professional | 55 · Aftercare only | $10.47 | $14.45 | $18.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $9.77 Typical High $12.30 | Professional | 56 · Pre-op care only | $6.92 | $9.77 | $12.30 |
Where Missouri sits
The same service costs 3.7 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· 31st of 51
$132
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.