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 $18.20 Median $19.95 Typical High $33.88 | Facility | None | $18.20 | $19.95 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $30.90 Typical High $33.88 | Professional | None | $18.20 | $30.90 | $33.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $29.51 Median $38.02 Typical High $54.95 | Professional | None | $29.51 | $38.02 | $54.95 |
BCBS Kansas City Setting Professional Modifier None Typical Low $20.89 Median $39.81 Typical High $44.67 | Professional | None | $20.89 | $39.81 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $36.31 Typical High $40.74 | Professional | None | $22.39 | $36.31 | $40.74 |
Medica Setting Facility Modifier None Typical Low $30.20 Median $56.23 Typical High $102.33 | Facility | None | $30.20 | $56.23 | $102.33 |
Medica Setting Professional Modifier None Typical Low $30.20 Median $51.29 Typical High $245.47 | Professional | None | $30.20 | $51.29 | $245.47 |
United Setting Professional Modifier None Typical Low $18.20 Median $30.20 Typical High $45.71 | Professional | None | $18.20 | $30.20 | $45.71 |
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 $8.91 Median $15.49 Typical High $16.98 | Professional | 52 · Reduced service | $8.91 | $15.49 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $6.17 Typical High $6.76 | Professional | 53 · Discontinued | $3.63 | $6.17 | $6.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.69 Median $4.57 Typical High $5.13 | Professional | 55 · Aftercare only | $2.69 | $4.57 | $5.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.82 Median $3.09 Typical High $3.39 | Professional | 56 · Pre-op care only | $1.82 | $3.09 | $3.39 |
Where Missouri sits
The same service costs 2.7 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· 29th of 51
$33.11
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.