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 $562.34 Median $794.33 Typical High $1,288.25 | Facility | None | $562.34 | $794.33 | $1,288.25 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $794.33 Typical High $1,258.93 | Professional | None | $616.60 | $794.33 | $1,258.93 |
Ambetter Setting Professional Modifier None Typical Low $912.01 Median $1,412.54 Typical High $1,584.89 | Professional | None | $912.01 | $1,412.54 | $1,584.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,318.26 Median $3,467.37 Typical High $7,079.46 | Facility | None | $1,318.26 | $3,467.37 | $7,079.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $562.34 Median $794.33 Typical High $1,412.54 | Professional | None | $562.34 | $794.33 | $1,412.54 |
BCBS Kansas City Setting Professional Modifier None Typical Low $758.58 Median $1,047.13 Typical High $1,412.54 | Professional | None | $758.58 | $1,047.13 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $2,691.53 Typical High $2,691.53 | Facility | None | $1,096.48 | $2,691.53 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $1,023.29 Typical High $1,819.70 | Professional | None | $724.44 | $1,023.29 | $1,819.70 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,174.90 Typical High $6,606.93 | Facility | None | $54.95 | $1,174.90 | $6,606.93 |
Medica Setting Professional Modifier None Typical Low $794.33 Median $5,754.40 Typical High $7,413.10 | Professional | None | $794.33 | $5,754.40 | $7,413.10 |
United Setting Facility Modifier None Typical Low $501.19 Median $2,290.87 Typical High $10,964.78 | Facility | None | $501.19 | $2,290.87 | $10,964.78 |
United Setting Professional Modifier None Typical Low $602.56 Median $870.96 Typical High $1,548.82 | Professional | None | $602.56 | $870.96 | $1,548.82 |
3 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 $302.00 Median $398.11 Typical High $478.63 | Professional | 52 · Reduced service | $302.00 | $398.11 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $117.49 Typical High $144.54 | Professional | 55 · Aftercare only | $91.20 | $117.49 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $79.43 Typical High $97.72 | Professional | 56 · Pre-op care only | $61.66 | $79.43 | $97.72 |
Where Missouri sits
The same service costs 3.2 times more in Alaska than in Indiana. 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· 33rd of 51
$933
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.