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 $35.48 Median $56.23 Typical High $97.72 | Facility | None | $35.48 | $56.23 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $45.71 Typical High $64.57 | Professional | None | $35.48 | $45.71 | $64.57 |
Ambetter Setting Professional Modifier None Typical Low $58.88 Median $60.26 Typical High $60.26 | Professional | None | $58.88 | $60.26 | $60.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $46.77 Median $64.57 Typical High $91.20 | Professional | None | $46.77 | $64.57 | $91.20 |
BCBS Kansas City Setting Professional Modifier None Typical Low $42.66 Median $61.66 Typical High $75.86 | Professional | None | $42.66 | $61.66 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $60.26 Typical High $97.72 | Professional | None | $45.71 | $60.26 | $97.72 |
Medica Setting Facility Modifier None Typical Low $47.86 Median $91.20 Typical High $213.80 | Facility | None | $47.86 | $91.20 | $213.80 |
Medica Setting Professional Modifier None Typical Low $60.26 Median $309.03 Typical High $398.11 | Professional | None | $60.26 | $309.03 | $398.11 |
United Setting Professional Modifier None Typical Low $45.71 Median $57.54 Typical High $79.43 | Professional | None | $45.71 | $57.54 | $79.43 |
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 $17.78 Median $22.91 Typical High $28.18 | Professional | 52 · Reduced service | $17.78 | $22.91 | $28.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.25 Median $6.92 Typical High $8.51 | Professional | 55 · Aftercare only | $5.25 | $6.92 | $8.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.55 Median $4.57 Typical High $5.62 | Professional | 56 · Pre-op care only | $3.55 | $4.57 | $5.62 |
Qualchoice Setting Professional Modifier FP · Family planning Typical Low $67.61 Median $67.61 Typical High $79.43 | Professional | FP · Family planning | $67.61 | $67.61 | $79.43 |
Where Missouri sits
The same service costs 2.7 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· 22nd of 51
$63.10
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.