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 $229.09 Median $4,897.79 Typical High $7,762.47 | Facility | None | $229.09 | $4,897.79 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $186.21 Typical High $245.47 | Professional | None | $154.88 | $186.21 | $245.47 |
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 $223.87 Median $295.12 Typical High $389.05 | Professional | None | $223.87 | $295.12 | $389.05 |
BCBS Kansas City Setting Professional Modifier None Typical Low $181.97 Median $204.17 Typical High $281.84 | Professional | None | $181.97 | $204.17 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $173.78 Typical High $245.47 | Facility | None | $58.88 | $173.78 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $263.03 Typical High $457.09 | Professional | None | $194.98 | $263.03 | $457.09 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $346.74 Typical High $1,288.25 | Facility | None | $54.95 | $346.74 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $194.98 Median $371.54 Typical High $1,513.56 | Professional | None | $194.98 | $371.54 | $1,513.56 |
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 $186.21 Median $245.47 Typical High $380.19 | Professional | None | $186.21 | $245.47 | $380.19 |
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 $77.62 Median $91.20 Typical High $95.50 | Professional | 52 · Reduced service | $77.62 | $91.20 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $37.15 Typical High $38.02 | Professional | 53 · Discontinued | $30.90 | $37.15 | $38.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $138.04 Typical High $141.25 | Professional | 54 · Surgery only | $114.82 | $138.04 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $27.54 Typical High $28.18 | Professional | 55 · Aftercare only | $22.91 | $27.54 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $18.62 Typical High $19.05 | Professional | 56 · Pre-op care only | $15.49 | $18.62 | $19.05 |
Where Missouri sits
The same service costs 3.2 times more in Alaska than in Utah. 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· 19th of 51
$295
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.