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 $93.33 Median $125.89 Typical High $223.87 | Facility | None | $93.33 | $125.89 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $102.33 Typical High $114.82 | Professional | None | $93.33 | $102.33 | $114.82 |
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 $70.79 Median $141.25 Typical High $190.55 | Professional | None | $70.79 | $141.25 | $190.55 |
BCBS Kansas City Setting Professional Modifier None Typical Low $102.33 Median $109.65 Typical High $154.88 | Professional | None | $102.33 | $109.65 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $1,000.00 | Facility | None | $380.19 | $380.19 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $112.20 Typical High $208.93 | Professional | None | $97.72 | $112.20 | $208.93 |
Medica Setting Facility Modifier None Typical Low $114.82 Median $194.98 Typical High $1,000.00 | Facility | None | $114.82 | $194.98 | $1,000.00 |
Medica Setting Professional Modifier None Typical Low $102.33 Median $3,162.28 Typical High $3,162.28 | Professional | None | $102.33 | $3,162.28 | $3,162.28 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,096.48 | Facility | None | $1,047.13 | $1,047.13 | $1,096.48 |
United Setting Professional Modifier None Typical Low $93.33 Median $125.89 Typical High $169.82 | Professional | None | $93.33 | $125.89 | $169.82 |
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 $46.77 Median $51.29 Typical High $57.54 | Professional | 52 · Reduced service | $46.77 | $51.29 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $20.42 Typical High $22.91 | Professional | 53 · Discontinued | $18.62 | $20.42 | $22.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $15.14 Typical High $17.38 | Professional | 55 · Aftercare only | $14.13 | $15.14 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $10.23 Typical High $11.48 | Professional | 56 · Pre-op care only | $9.33 | $10.23 | $11.48 |
Where Missouri sits
The same service costs 3.0 times more in Alaska than in Florida. 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· 26th of 51
$129
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.