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 $75.86 Median $81.28 Typical High $91.20 | Facility | None | $75.86 | $81.28 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $81.28 Typical High $102.33 | Professional | None | $69.18 | $81.28 | $102.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $53.70 Median $75.86 Typical High $173.78 | Professional | None | $53.70 | $75.86 | $173.78 |
BCBS Kansas City Setting Facility Modifier None Typical Low $131.83 Median $147.91 Typical High $257.04 | Facility | None | $131.83 | $147.91 | $257.04 |
BCBS Kansas City Setting Professional Modifier None Typical Low $74.13 Median $100.00 Typical High $162.18 | Professional | None | $74.13 | $100.00 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $190.55 Typical High $691.83 | Facility | None | $117.49 | $190.55 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $46.77 Typical High $138.04 | Professional | None | $42.66 | $46.77 | $138.04 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $398.11 Typical High $512.86 | Facility | None | $81.28 | $398.11 | $512.86 |
Medica Setting Professional Modifier None Typical Low $100.00 Median $562.34 Typical High $588.84 | Professional | None | $100.00 | $562.34 | $588.84 |
United Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $562.34 | Facility | None | $537.03 | $537.03 | $562.34 |
United Setting Professional Modifier None Typical Low $56.23 Median $97.72 Typical High $229.09 | Professional | None | $56.23 | $97.72 | $229.09 |
4 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 $36.31 Median $40.74 Typical High $51.29 | Professional | 52 · Reduced service | $36.31 | $40.74 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $16.22 Typical High $20.42 | Professional | 53 · Discontinued | $14.45 | $16.22 | $20.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $12.02 Typical High $15.49 | Professional | 55 · Aftercare only | $10.96 | $12.02 | $15.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $8.13 Typical High $10.23 | Professional | 56 · Pre-op care only | $7.24 | $8.13 | $10.23 |
Where Missouri sits
The same service costs 5.0 times more in Alaska than in Alabama. 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· 25th of 51
$102
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.