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 $57.54 Median $8,128.31 Typical High $8,128.31 | Facility | None | $57.54 | $8,128.31 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $61.66 Typical High $67.61 | Professional | None | $57.54 | $61.66 | $67.61 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,168.69 Median $9,332.54 Typical High $15,135.61 | Facility | None | $4,168.69 | $9,332.54 | $15,135.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $58.88 Median $69.18 Typical High $104.71 | Professional | None | $58.88 | $69.18 | $104.71 |
BCBS Kansas City Setting Professional Modifier None Typical Low $50.12 Median $56.23 Typical High $74.13 | Professional | None | $50.12 | $56.23 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $7,413.10 Median $13,182.57 Typical High $26,915.35 | Facility | None | $7,413.10 | $13,182.57 | $26,915.35 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $75.86 Typical High $125.89 | Professional | None | $53.70 | $75.86 | $125.89 |
Medica Setting Facility Modifier None Typical Low $91.20 Median $331.13 Typical High $1,380.38 | Facility | None | $91.20 | $331.13 | $1,380.38 |
Medica Setting Professional Modifier None Typical Low $79.43 Median $138.04 Typical High $588.84 | Professional | None | $79.43 | $138.04 | $588.84 |
United Setting Facility Modifier None Typical Low $123.03 Median $616.60 Typical High $5,011.87 | Facility | None | $123.03 | $616.60 | $5,011.87 |
United Setting Professional Modifier None Typical Low $64.57 Median $104.71 Typical High $147.91 | Professional | None | $64.57 | $104.71 | $147.91 |
1 more rate 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 54 · Surgery only Typical Low $43.65 Median $45.71 Typical High $50.12 | Professional | 54 · Surgery only | $43.65 | $45.71 | $50.12 |
Where Missouri sits
The same service costs 3.5 times more in Wisconsin than in South Carolina. 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· 20th of 51
$93.33
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.