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 $2,570.40 Median $3,090.30 Typical High $7,079.46 | Facility | None | $2,570.40 | $3,090.30 | $7,079.46 |
Aetna Setting Professional Modifier None Typical Low $2,570.40 Median $2,754.23 Typical High $4,365.16 | Professional | None | $2,570.40 | $2,754.23 | $4,365.16 |
Anthem BCBS Setting Professional Modifier None Typical Low $707.95 Median $776.25 Typical High $10,000.00 | Professional | None | $707.95 | $776.25 | $10,000.00 |
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 $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,290.87 | $2,290.87 | $2,290.87 |
Medica Setting Facility Modifier None Typical Low $2,137.96 Median $3,801.89 Typical High $17,378.01 | Facility | None | $2,137.96 | $3,801.89 | $17,378.01 |
Medica Setting Professional Modifier None Typical Low $758.58 Median $2,630.27 Typical High $16,982.44 | Professional | None | $758.58 | $2,630.27 | $16,982.44 |
United Setting Facility Modifier None Typical Low $1,862.09 Median $3,981.07 Typical High $7,762.47 | Facility | None | $1,862.09 | $3,981.07 | $7,762.47 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,288.25 Typical High $15,135.61 | Professional | None | $758.58 | $1,288.25 | $15,135.61 |
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 $1,288.25 Median $1,380.38 Typical High $1,548.82 | Professional | 52 · Reduced service | $1,288.25 | $1,380.38 | $1,548.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $512.86 Median $562.34 Typical High $630.96 | Professional | 53 · Discontinued | $512.86 | $562.34 | $630.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,905.46 Median $2,089.30 Typical High $2,344.23 | Professional | 54 · Surgery only | $1,905.46 | $2,089.30 | $2,344.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $416.87 Typical High $467.74 | Professional | 55 · Aftercare only | $380.19 | $416.87 | $467.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $257.04 Median $275.42 Typical High $309.03 | Professional | 56 · Pre-op care only | $257.04 | $275.42 | $309.03 |
Where Missouri sits
The same service costs 9.3 times more in Alaska than in Indiana. 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· 49th of 51
$1,000
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.