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 $147.91 Median $2,570.40 Typical High $6,309.57 | Facility | None | $147.91 | $2,570.40 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $147.91 Typical High $218.78 | Professional | None | $95.50 | $147.91 | $218.78 |
Ambetter Setting Professional Modifier None Typical Low $120.23 Median $173.78 Typical High $199.53 | Professional | None | $120.23 | $173.78 | $199.53 |
Anthem BCBS Setting Facility Modifier None Typical Low $151.36 Median $1,621.81 Typical High $3,890.45 | Facility | None | $151.36 | $1,621.81 | $3,890.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $100.00 Median $123.03 Typical High $199.53 | Professional | None | $100.00 | $123.03 | $199.53 |
BCBS Kansas City Setting Professional Modifier None Typical Low $107.15 Median $186.21 Typical High $229.09 | Professional | None | $107.15 | $186.21 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $147.91 Typical High $575.44 | Facility | None | $66.07 | $147.91 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $165.96 Typical High $263.03 | Professional | None | $123.03 | $165.96 | $263.03 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $537.03 Typical High $1,949.84 | Facility | None | $54.95 | $537.03 | $1,949.84 |
Medica Setting Professional Modifier None Typical Low $199.53 Median $851.14 Typical High $1,318.26 | Professional | None | $199.53 | $851.14 | $1,318.26 |
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 $125.89 Median $204.17 Typical High $323.59 | Professional | None | $125.89 | $204.17 | $323.59 |
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 $72.44 Typical High $89.13 | Professional | 52 · Reduced service | $47.86 | $72.44 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $29.51 Typical High $36.31 | Professional | 53 · Discontinued | $19.05 | $29.51 | $36.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $72.44 Median $109.65 Typical High $134.90 | Professional | 54 · Surgery only | $72.44 | $109.65 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $21.88 Typical High $26.92 | Professional | 55 · Aftercare only | $14.45 | $21.88 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $14.79 Typical High $18.20 | Professional | 56 · Pre-op care only | $9.55 | $14.79 | $18.20 |
Where Missouri sits
The same service costs 3.3 times more in Alaska than in Virginia. 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· 37th of 51
$174
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.