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 $117.49 Median $3,162.28 Typical High $7,762.47 | Facility | None | $117.49 | $3,162.28 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $97.72 Typical High $138.04 | Professional | None | $25.12 | $97.72 | $138.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $151.36 Median $1,621.81 Typical High $16,982.44 | Facility | None | $151.36 | $1,621.81 | $16,982.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $27.54 Median $32.36 Typical High $53.70 | Professional | None | $27.54 | $32.36 | $53.70 |
BCBS Kansas City Setting Professional Modifier None Typical Low $27.54 Median $109.65 Typical High $144.54 | Professional | None | $27.54 | $109.65 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $141.25 Typical High $1,659.59 | Facility | None | $93.33 | $141.25 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $95.50 Typical High $181.97 | Professional | None | $30.90 | $95.50 | $181.97 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $208.93 Typical High $1,230.27 | Facility | None | $54.95 | $208.93 | $1,230.27 |
Medica Setting Professional Modifier None Typical Low $144.54 Median $436.52 Typical High $870.96 | Professional | None | $144.54 | $436.52 | $870.96 |
United Setting Facility Modifier None Typical Low $123.03 Median $645.65 Typical High $4,365.16 | Facility | None | $123.03 | $645.65 | $4,365.16 |
United Setting Professional Modifier None Typical Low $33.11 Median $97.72 Typical High $223.87 | Professional | None | $33.11 | $97.72 | $223.87 |
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 $18.62 Median $67.61 Typical High $89.13 | Professional | 54 · Surgery only | $18.62 | $67.61 | $89.13 |
Where Missouri sits
The same service costs 5.1 times more in Iowa 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· 36th of 51
$95.50
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.