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 $91.20 Median $3,162.28 Typical High $7,762.47 | Facility | None | $91.20 | $3,162.28 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $69.18 Typical High $91.20 | Professional | None | $54.95 | $69.18 | $91.20 |
Ambetter Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
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 $63.10 Median $72.44 Typical High $112.20 | Professional | None | $63.10 | $72.44 | $112.20 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $95.50 Median $109.65 Typical High $169.82 | Professional | 50 · Both sides | $95.50 | $109.65 | $169.82 |
BCBS Kansas City Setting Professional Modifier None Typical Low $64.57 Median $91.20 Typical High $112.20 | Professional | None | $64.57 | $91.20 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $63.10 Typical High $89.13 | Facility | None | $46.77 | $63.10 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $87.10 Typical High $154.88 | Professional | None | $63.10 | $87.10 | $154.88 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $245.47 Typical High $1,096.48 | Facility | None | $54.95 | $245.47 | $1,096.48 |
Medica Setting Professional Modifier None Typical Low $102.33 Median $512.86 Typical High $691.83 | Professional | None | $102.33 | $512.86 | $691.83 |
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 $67.61 Median $117.49 Typical High $165.96 | Professional | None | $67.61 | $117.49 | $165.96 |
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 54 · Surgery only Typical Low $41.69 Median $56.23 Typical High $69.18 | Professional | 54 · Surgery only | $41.69 | $56.23 | $69.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $38.90 Median $52.48 Typical High $64.57 | Professional | 78 · Unplanned return to OR | $38.90 | $52.48 | $64.57 |
Where Missouri sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 32nd of 51
$93.33
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.