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 $154.88 Median $4,897.79 Typical High $7,762.47 | Facility | None | $154.88 | $4,897.79 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $131.83 Typical High $154.88 | Professional | None | $125.89 | $131.83 | $154.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,258.93 Median $3,467.37 Typical High $7,079.46 | Facility | None | $1,258.93 | $3,467.37 | $7,079.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $57.54 Median $72.44 Typical High $123.03 | Professional | None | $57.54 | $72.44 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $2,691.53 Typical High $2,691.53 | Facility | None | $588.84 | $2,691.53 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $123.03 Typical High $234.42 | Professional | None | $117.49 | $123.03 | $234.42 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $309.03 Typical High $1,230.27 | Facility | None | $54.95 | $309.03 | $1,230.27 |
Medica Setting Professional Modifier None Typical Low $58.88 Median $112.20 Typical High $933.25 | Professional | None | $58.88 | $112.20 | $933.25 |
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 $58.88 Median $87.10 Typical High $128.82 | Professional | None | $58.88 | $87.10 | $128.82 |
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 $93.33 Median $100.00 Typical High $117.49 | Professional | 54 · Surgery only | $93.33 | $100.00 | $117.49 |
Where Missouri sits
The same service costs 4.8 times more in Indiana 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· 50th of 51
$123
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.