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 $724.44 Median $724.44 Typical High $1,071.52 | Facility | None | $724.44 | $724.44 | $1,071.52 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $870.96 Typical High $1,148.15 | Professional | None | $724.44 | $870.96 | $1,148.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,412.54 Median $3,801.89 Typical High $10,000.00 | Facility | None | $1,412.54 | $3,801.89 | $10,000.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $851.14 Median $1,230.27 Typical High $1,698.24 | Professional | None | $851.14 | $1,230.27 | $1,698.24 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $134.90 Median $194.98 Typical High $275.42 | Professional | 80 · Assistant surgeon | $134.90 | $194.98 | $275.42 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $120.23 Median $169.82 Typical High $239.88 | Professional | AS · PA/NP assist | $120.23 | $169.82 | $239.88 |
BCBS Kansas City Setting Professional Modifier None Typical Low $851.14 Median $954.99 Typical High $1,348.96 | Professional | None | $851.14 | $954.99 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $691.83 Typical High $2,691.53 | Facility | None | $489.78 | $691.83 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $1,071.52 Typical High $2,137.96 | Professional | None | $912.01 | $1,071.52 | $2,137.96 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,230.27 Typical High $8,511.38 | Facility | None | $54.95 | $1,230.27 | $8,511.38 |
Medica Setting Professional Modifier None Typical Low $912.01 Median $1,548.82 Typical High $6,606.93 | Professional | None | $912.01 | $1,548.82 | $6,606.93 |
United Setting Facility Modifier None Typical Low $467.74 Median $2,290.87 Typical High $10,964.78 | Facility | None | $467.74 | $2,290.87 | $10,964.78 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,122.02 Typical High $1,479.11 | Professional | None | $891.25 | $1,122.02 | $1,479.11 |
2 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 $363.08 Median $426.58 Typical High $446.68 | Professional | 52 · Reduced service | $363.08 | $426.58 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $173.78 Typical High $177.83 | Professional | 53 · Discontinued | $144.54 | $173.78 | $177.83 |
Where Missouri sits
The same service costs 3.4 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· 23rd of 51
$1,288
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.