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 $26.92 Median $26.92 Typical High $31.62 | Facility | None | $26.92 | $26.92 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $26.92 Typical High $31.62 | Professional | None | $25.12 | $26.92 | $31.62 |
Ambetter Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,659.59 | Facility | None | $1,479.11 | $1,479.11 | $1,659.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.70 Median $42.66 Typical High $53.70 | Professional | None | $25.70 | $42.66 | $53.70 |
BCBS Kansas City Setting Professional Modifier None Typical Low $26.30 Median $28.18 Typical High $41.69 | Professional | None | $26.30 | $28.18 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $354.81 | Facility | None | $69.18 | $69.18 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $29.51 Typical High $67.61 | Professional | None | $23.99 | $29.51 | $67.61 |
Medica Setting Facility Modifier None Typical Low $26.30 Median $52.48 Typical High $380.19 | Facility | None | $26.30 | $52.48 | $380.19 |
Medica Setting Professional Modifier None Typical Low $26.30 Median $239.88 Typical High $239.88 | Professional | None | $26.30 | $239.88 | $239.88 |
United Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $446.68 | Facility | None | $416.87 | $416.87 | $446.68 |
United Setting Professional Modifier None Typical Low $23.99 Median $32.36 Typical High $61.66 | Professional | None | $23.99 | $32.36 | $61.66 |
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 $12.59 Median $13.49 Typical High $15.85 | Professional | 52 · Reduced service | $12.59 | $13.49 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.37 Typical High $6.31 | Professional | 53 · Discontinued | $5.01 | $5.37 | $6.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.80 Median $4.07 Typical High $4.79 | Professional | 55 · Aftercare only | $3.80 | $4.07 | $4.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.51 Median $2.69 Typical High $3.16 | Professional | 56 · Pre-op care only | $2.51 | $2.69 | $3.16 |
Where Missouri sits
The same service costs 2.5 times more in Minnesota than in Arkansas. 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· 21st of 51
$37.15
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.