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 $17.38 Median $30.20 Typical High $56.23 | Facility | None | $17.38 | $30.20 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $28.18 Typical High $38.02 | Professional | None | $17.38 | $28.18 | $38.02 |
Ambetter Setting Professional Modifier None Typical Low $31.62 Median $38.90 Typical High $53.70 | Professional | None | $31.62 | $38.90 | $53.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.99 Median $36.31 Typical High $48.98 | Professional | None | $23.99 | $36.31 | $48.98 |
BCBS Kansas City Setting Professional Modifier None Typical Low $20.89 Median $37.15 Typical High $45.71 | Professional | None | $20.89 | $37.15 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $34.67 Typical High $52.48 | Professional | None | $22.39 | $34.67 | $52.48 |
Medica Setting Facility Modifier None Typical Low $24.55 Median $52.48 Typical High $107.15 | Facility | None | $24.55 | $52.48 | $107.15 |
Medica Setting Professional Modifier None Typical Low $35.48 Median $151.36 Typical High $245.47 | Professional | None | $35.48 | $151.36 | $245.47 |
Qualchoice Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None | $47.86 | $47.86 | $47.86 |
United Setting Professional Modifier None Typical Low $22.39 Median $32.36 Typical High $46.77 | Professional | None | $22.39 | $32.36 | $46.77 |
3 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 $8.71 Median $14.13 Typical High $17.38 | Professional | 52 · Reduced service | $8.71 | $14.13 | $17.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.63 Median $4.27 Typical High $5.25 | Professional | 55 · Aftercare only | $2.63 | $4.27 | $5.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.78 Median $2.82 Typical High $3.47 | Professional | 56 · Pre-op care only | $1.78 | $2.82 | $3.47 |
Where Missouri sits
The same service costs 2.8 times more in Alaska than in Washington, DC. 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.