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 $3,090.30 Median $3,801.89 Typical High $8,709.64 | Facility | None | $3,090.30 | $3,801.89 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $3,090.30 Median $3,388.44 Typical High $6,918.31 | Professional | None | $3,090.30 | $3,388.44 | $6,918.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $436.52 Median $478.63 Typical High $11,220.18 | Professional | None | $436.52 | $478.63 | $11,220.18 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $25,118.86 | Facility | None | $630.96 | $630.96 | $25,118.86 |
Cigna Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,951.21 | $2,951.21 | $2,951.21 |
Medica Setting Facility Modifier None Typical Low $2,570.40 Median $4,466.84 Typical High $21,379.62 | Facility | None | $2,570.40 | $4,466.84 | $21,379.62 |
Medica Setting Professional Modifier None Typical Low $457.09 Median $2,818.38 Typical High $19,952.62 | Professional | None | $457.09 | $2,818.38 | $19,952.62 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $4,265.80 Typical High $12,302.69 | Facility | None | $2,187.76 | $4,265.80 | $12,302.69 |
United Setting Professional Modifier None Typical Low $457.09 Median $794.33 Typical High $16,982.44 | Professional | None | $457.09 | $794.33 | $16,982.44 |
5 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 $1,548.82 Median $1,698.24 Typical High $1,905.46 | Professional | 52 · Reduced service | $1,548.82 | $1,698.24 | $1,905.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $616.60 Median $676.08 Typical High $758.58 | Professional | 53 · Discontinued | $616.60 | $676.08 | $758.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,344.23 Median $2,511.89 Typical High $2,884.03 | Professional | 54 · Surgery only | $2,344.23 | $2,511.89 | $2,884.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $467.74 Median $501.19 Typical High $575.44 | Professional | 55 · Aftercare only | $467.74 | $501.19 | $575.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $309.03 Median $338.84 Typical High $380.19 | Professional | 56 · Pre-op care only | $309.03 | $338.84 | $380.19 |
Where Missouri sits
The same service costs 14.1 times more in Alaska than in Missouri. 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· 51st of 51
$603
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.