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 $32.36 Median $66.07 Typical High $165.96 | Facility | None | $32.36 | $66.07 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $66.07 Typical High $75.86 | Professional | None | $32.36 | $66.07 | $75.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.70 Median $81.28 Typical High $85.11 | Facility | None | $25.70 | $81.28 | $85.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $32.36 Median $42.66 Typical High $42.66 | Professional | None | $32.36 | $42.66 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $154.88 Typical High $173.78 | Facility | None | $104.71 | $154.88 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
Medica Setting Facility Modifier None Typical Low $22.91 Median $56.23 Typical High $691.83 | Facility | None | $22.91 | $56.23 | $691.83 |
Medica Setting Professional Modifier None Typical Low $42.66 Median $660.69 Typical High $660.69 | Professional | None | $42.66 | $660.69 | $660.69 |
United Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
United Setting Professional Modifier None Typical Low $38.90 Median $42.66 Typical High $42.66 | Professional | None | $38.90 | $42.66 | $42.66 |
2 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 55 · Aftercare only Typical Low $4.90 Median $9.77 Typical High $11.48 | Professional | 55 · Aftercare only | $4.90 | $9.77 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.24 Median $6.61 Typical High $7.59 | Professional | 56 · Pre-op care only | $3.24 | $6.61 | $7.59 |
Where Missouri sits
The same service costs 2.6 times more in Texas than in Connecticut. 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· 37th of 51
$42.66
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.