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 $64.57 Median $2,511.89 Typical High $6,309.57 | Facility | None | $64.57 | $2,511.89 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $81.28 Typical High $120.23 | Professional | None | $50.12 | $81.28 | $120.23 |
Ambetter Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
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 $56.23 Median $64.57 Typical High $104.71 | Professional | None | $56.23 | $64.57 | $104.71 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $83.18 Median $97.72 Typical High $154.88 | Professional | 50 · Both sides | $83.18 | $97.72 | $154.88 |
BCBS Kansas City Setting Professional Modifier None Typical Low $53.70 Median $100.00 Typical High $125.89 | Professional | None | $53.70 | $100.00 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $2,137.96 Typical High $2,691.53 | Facility | None | $562.34 | $2,137.96 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $91.20 Typical High $141.25 | Professional | None | $61.66 | $91.20 | $141.25 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $223.87 Typical High $1,071.52 | Facility | None | $54.95 | $223.87 | $1,071.52 |
Medica Setting Professional Modifier None Typical Low $112.20 Median $575.44 Typical High $2,511.89 | Professional | None | $112.20 | $575.44 | $2,511.89 |
United Setting Facility Modifier None Typical Low $123.03 Median $549.54 Typical High $2,137.96 | Facility | None | $123.03 | $549.54 | $2,137.96 |
United Setting Professional Modifier None Typical Low $66.07 Median $107.15 Typical High $181.97 | Professional | None | $66.07 | $107.15 | $181.97 |
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 $37.15 Median $60.26 Typical High $74.13 | Professional | 54 · Surgery only | $37.15 | $60.26 | $74.13 |
Where Missouri sits
The same service costs 3.6 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· 34th of 51
$97.72
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.