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 $1,548.82 Median $3,981.07 Typical High $7,762.47 | Facility | None | $1,548.82 | $3,981.07 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $954.99 Typical High $1,288.25 | Professional | None | $891.25 | $954.99 | $1,288.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $3,467.37 Typical High $7,079.46 | Facility | None | $1,288.25 | $3,467.37 | $7,079.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $660.69 Median $794.33 Typical High $1,288.25 | Professional | None | $660.69 | $794.33 | $1,288.25 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,000.00 Median $1,174.90 Typical High $1,905.46 | Professional | 50 · Both sides | $1,000.00 | $1,174.90 | $1,905.46 |
BCBS Kansas City Setting Professional Modifier None Typical Low $758.58 Median $812.83 Typical High $1,071.52 | Professional | None | $758.58 | $812.83 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $2,089.30 Typical High $2,511.89 | Facility | None | $602.56 | $2,089.30 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $831.76 Typical High $1,445.44 | Professional | None | $758.58 | $831.76 | $1,445.44 |
Medica Setting Facility Modifier None Typical Low $851.14 Median $3,801.89 Typical High $16,218.10 | Facility | None | $851.14 | $3,801.89 | $16,218.10 |
Medica Setting Professional Modifier None Typical Low $676.08 Median $1,412.54 Typical High $6,456.54 | Professional | None | $676.08 | $1,412.54 | $6,456.54 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $3,467.37 Typical High $6,918.31 | Facility | None | $1,000.00 | $3,467.37 | $6,918.31 |
United Setting Professional Modifier None Typical Low $676.08 Median $851.14 Typical High $1,513.56 | Professional | None | $676.08 | $851.14 | $1,513.56 |
6 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 $446.68 Median $478.63 Typical High $524.81 | Professional | 52 · Reduced service | $446.68 | $478.63 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $190.55 Typical High $208.93 | Professional | 53 · Discontinued | $177.83 | $190.55 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $707.95 Typical High $794.33 | Professional | 54 · Surgery only | $676.08 | $707.95 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $141.25 Typical High $158.49 | Professional | 55 · Aftercare only | $134.90 | $141.25 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $95.50 Typical High $104.71 | Professional | 56 · Pre-op care only | $89.13 | $95.50 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $660.69 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $630.96 | $660.69 | $741.31 |
Where Missouri sits
The same service costs 8.3 times more in Wyoming than in Utah. 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
$977
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.