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 $229.09 Median $269.15 Typical High $269.15 | Facility | None | $229.09 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $223.87 Typical High $269.15 | Professional | None | $218.78 | $223.87 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $169.82 Typical High $204.17 | Professional | 54 · Surgery only | $165.96 | $169.82 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $33.88 Typical High $40.74 | Professional | 55 · Aftercare only | $33.11 | $33.88 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $22.39 Typical High $26.92 | Professional | 56 · Pre-op care only | $21.88 | $22.39 | $26.92 |
Anthem BCBS Setting Professional Modifier None Typical Low $162.18 Median $223.87 Typical High $269.15 | Professional | None | $162.18 | $223.87 | $269.15 |
Medica Setting Facility Modifier None Typical Low $128.82 Median $616.60 Typical High $3,715.35 | Facility | None | $128.82 | $616.60 | $3,715.35 |
Medica Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
Where Missouri sits
The same service costs 17.8 times more in Texas than in New Jersey. 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· 19th of 51
$245
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.