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 $323.59 Median $3,162.28 Typical High $7,762.47 | Facility | None | $323.59 | $3,162.28 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $281.84 Typical High $331.13 | Professional | None | $213.80 | $281.84 | $331.13 |
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 $223.87 Median $323.59 Typical High $478.63 | Professional | None | $223.87 | $323.59 | $478.63 |
BCBS Kansas City Setting Professional Modifier None Typical Low $173.78 Median $281.84 Typical High $316.23 | Professional | None | $173.78 | $281.84 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $245.47 Typical High $1,659.59 | Facility | None | $162.18 | $245.47 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $263.03 Typical High $436.52 | Professional | None | $199.53 | $263.03 | $436.52 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $776.25 Typical High $1,819.70 | Facility | None | $54.95 | $776.25 | $1,819.70 |
Medica Setting Professional Modifier None Typical Low $269.15 Median $1,548.82 Typical High $2,041.74 | Professional | None | $269.15 | $1,548.82 | $2,041.74 |
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 $194.98 Median $288.40 Typical High $467.74 | Professional | None | $194.98 | $288.40 | $467.74 |
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 $107.15 Median $134.90 Typical High $162.18 | Professional | 52 · Reduced service | $107.15 | $134.90 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $53.70 Typical High $64.57 | Professional | 53 · Discontinued | $42.66 | $53.70 | $64.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $204.17 Typical High $245.47 | Professional | 54 · Surgery only | $162.18 | $204.17 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $40.74 Typical High $48.98 | Professional | 55 · Aftercare only | $32.36 | $40.74 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $26.92 Typical High $32.36 | Professional | 56 · Pre-op care only | $21.38 | $26.92 | $32.36 |
Where Missouri sits
The same service costs 3.5 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· 23rd of 51
$339
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.