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 $338.84 Median $363.08 Typical High $660.69 | Facility | None | $338.84 | $363.08 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $512.86 | Professional | None | $338.84 | $338.84 | $512.86 |
Ambetter Setting Professional Modifier None Typical Low $263.03 Median $316.23 Typical High $346.74 | Professional | None | $263.03 | $316.23 | $346.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $331.13 Median $457.09 Typical High $1,096.48 | Facility | None | $331.13 | $457.09 | $1,096.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $323.59 Median $380.19 Typical High $380.19 | Professional | None | $323.59 | $380.19 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $588.84 Typical High $660.69 | Facility | None | $380.19 | $588.84 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None | $354.81 | $354.81 | $354.81 |
Medica Setting Facility Modifier None Typical Low $295.12 Median $331.13 Typical High $1,174.90 | Facility | None | $295.12 | $331.13 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $275.42 Median $323.59 Typical High $331.13 | Professional | None | $275.42 | $323.59 | $331.13 |
United Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
United Setting Professional Modifier None Typical Low $316.23 Median $354.81 Typical High $389.05 | Professional | None | $316.23 | $354.81 | $389.05 |
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 $169.82 Median $169.82 Typical High $177.83 | Professional | 52 · Reduced service | $169.82 | $169.82 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $72.44 | Professional | 53 · Discontinued | $67.61 | $67.61 | $72.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $51.29 Typical High $53.70 | Professional | 55 · Aftercare only | $51.29 | $51.29 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $33.88 Typical High $36.31 | Professional | 56 · Pre-op care only | $33.88 | $33.88 | $36.31 |
Where Missouri sits
The same service costs 2.9 times more in Arizona 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· 18th of 51
$355
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.