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 $74.13 Median $97.72 Typical High $199.53 | Facility | None | $74.13 | $97.72 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $97.72 Typical High $112.20 | Professional | None | $72.44 | $97.72 | $112.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $93.33 Median $117.49 Typical High $158.49 | Professional | None | $93.33 | $117.49 | $158.49 |
BCBS Kansas City Setting Professional Modifier None Typical Low $79.43 Median $117.49 Typical High $134.90 | Professional | None | $79.43 | $117.49 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $114.82 Typical High $147.91 | Professional | None | $87.10 | $114.82 | $147.91 |
Medica Setting Facility Modifier None Typical Low $97.72 Median $186.21 Typical High $416.87 | Facility | None | $97.72 | $186.21 | $416.87 |
Medica Setting Professional Modifier None Typical Low $91.20 Median $147.91 Typical High $794.33 | Professional | None | $91.20 | $147.91 | $794.33 |
United Setting Professional Modifier None Typical Low $74.13 Median $97.72 Typical High $147.91 | Professional | None | $74.13 | $97.72 | $147.91 |
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 $48.98 Typical High $54.95 | Professional | 52 · Reduced service | $36.31 | $48.98 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $19.50 Typical High $21.88 | Professional | 53 · Discontinued | $14.45 | $19.50 | $21.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $14.45 Typical High $16.22 | Professional | 55 · Aftercare only | $10.96 | $14.45 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $9.77 Typical High $10.96 | Professional | 56 · Pre-op care only | $7.24 | $9.77 | $10.96 |
Where Missouri sits
The same service costs 4.1 times more in Alaska than in New Jersey. 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· 35th of 51
$110
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.