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 $41.69 Median $2,951.21 Typical High $6,309.57 | Facility | None | $41.69 | $2,951.21 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $41.69 Typical High $61.66 | Professional | None | $28.18 | $41.69 | $61.66 |
Ambetter Setting Professional Modifier None Typical Low $45.71 Median $52.48 Typical High $75.86 | Professional | None | $45.71 | $52.48 | $75.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $446.68 Median $1,621.81 Typical High $3,890.45 | Facility | None | $446.68 | $1,621.81 | $3,890.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $36.31 Median $42.66 Typical High $60.26 | Professional | None | $36.31 | $42.66 | $60.26 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $53.70 Median $63.10 Typical High $89.13 | Professional | 50 · Both sides | $53.70 | $63.10 | $89.13 |
BCBS Kansas City Setting Professional Modifier None Typical Low $31.62 Median $50.12 Typical High $63.10 | Professional | None | $31.62 | $50.12 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $32.36 Typical High $66.07 | Facility | None | $23.44 | $32.36 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $48.98 Typical High $77.62 | Professional | None | $35.48 | $48.98 | $77.62 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $177.83 Typical High $1,096.48 | Facility | None | $54.95 | $177.83 | $1,096.48 |
Medica Setting Professional Modifier None Typical Low $56.23 Median $251.19 Typical High $380.19 | Professional | None | $56.23 | $251.19 | $380.19 |
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 $36.31 Median $61.66 Typical High $91.20 | Professional | None | $36.31 | $61.66 | $91.20 |
1 more rate 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 54 · Surgery only Typical Low $20.89 Median $30.90 Typical High $38.02 | Professional | 54 · Surgery only | $20.89 | $30.90 | $38.02 |
Where Missouri sits
The same service costs 3.3 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· 33rd of 51
$52.48
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.