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 $1,819.70 Median $2,187.76 Typical High $2,187.76 | Facility | None | $1,819.70 | $2,187.76 | $2,187.76 |
Aetna Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,187.76 | Professional | None | $1,862.09 | $1,862.09 | $2,187.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $467.74 Median $1,819.70 Typical High $4,786.30 | Facility | None | $467.74 | $1,819.70 | $4,786.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | None | $2,187.76 | $2,187.76 | $2,187.76 |
BCBS Kansas City Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $2,187.76 Median $3,388.44 Typical High $3,801.89 | Facility | None | $2,187.76 | $3,388.44 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None | $2,041.74 | $2,041.74 | $2,041.74 |
Medica Setting Facility Modifier None Typical Low $724.44 Median $2,089.30 Typical High $9,120.11 | Facility | None | $724.44 | $2,089.30 | $9,120.11 |
Medica Setting Professional Modifier None Typical Low $1,862.09 Median $2,137.96 Typical High $2,290.87 | Professional | None | $1,862.09 | $2,137.96 | $2,290.87 |
United Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
United Setting Professional Modifier None Typical Low $1,862.09 Median $2,137.96 Typical High $2,290.87 | Professional | None | $1,862.09 | $2,137.96 | $2,290.87 |
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 $933.25 Median $933.25 Typical High $1,096.48 | Professional | 52 · Reduced service | $933.25 | $933.25 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $371.54 Typical High $436.52 | Professional | 53 · Discontinued | $371.54 | $371.54 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $275.42 Typical High $331.13 | Professional | 55 · Aftercare only | $275.42 | $275.42 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $186.21 Typical High $218.78 | Professional | 56 · Pre-op care only | $186.21 | $186.21 | $218.78 |
Where Missouri sits
The same service costs 1.9 times more in Arizona than in Hawaii. 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· 8th of 51
$2,138
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.