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 $1,148.15 Median $3,162.28 Typical High $7,762.47 | Facility | None | $1,148.15 | $3,162.28 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $114.82 Typical High $1,174.90 | Professional | None | $95.50 | $114.82 | $1,174.90 |
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 $112.20 Median $154.88 Typical High $208.93 | Professional | None | $112.20 | $154.88 | $208.93 |
BCBS Kansas City Setting Professional Modifier None Typical Low $104.71 Median $120.23 Typical High $173.78 | Professional | None | $104.71 | $120.23 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $501.19 Typical High $1,659.59 | Facility | None | $380.19 | $501.19 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $147.91 Typical High $263.03 | Professional | None | $114.82 | $147.91 | $263.03 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $758.58 Typical High $2,089.30 | Facility | None | $54.95 | $758.58 | $2,089.30 |
Medica Setting Professional Modifier None Typical Low $134.90 Median $257.04 Typical High $794.33 | Professional | None | $134.90 | $257.04 | $794.33 |
United Setting Facility Modifier None Typical Low $398.11 Median $1,148.15 Typical High $2,238.72 | Facility | None | $398.11 | $1,148.15 | $2,238.72 |
United Setting Professional Modifier None Typical Low $123.03 Median $169.82 Typical High $309.03 | Professional | None | $123.03 | $169.82 | $309.03 |
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 $47.86 Median $57.54 Typical High $58.88 | Professional | 52 · Reduced service | $47.86 | $57.54 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $22.91 Typical High $23.44 | Professional | 53 · Discontinued | $19.05 | $22.91 | $23.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $70.79 Median $85.11 Typical High $87.10 | Professional | 54 · Surgery only | $70.79 | $85.11 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $16.98 Typical High $17.38 | Professional | 55 · Aftercare only | $14.13 | $16.98 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $11.48 Typical High $11.75 | Professional | 56 · Pre-op care only | $9.55 | $11.48 | $11.75 |
Where Missouri sits
The same service costs 4.4 times more in Alaska than in New York. 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
$178
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.