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 $26.30 Median $35.48 Typical High $1,148.15 | Facility | None | $26.30 | $35.48 | $1,148.15 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $831.76 Typical High $1,148.15 | Professional | None | $26.30 | $831.76 | $1,148.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.88 Median $676.08 Typical High $1,148.15 | Professional | None | $21.88 | $676.08 | $1,148.15 |
BCBS Kansas City Setting Professional Modifier None Typical Low $32.36 Median $1,258.93 Typical High $1,737.80 | Professional | None | $32.36 | $1,258.93 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
Medica Setting Facility Modifier None Typical Low $34.67 Median $177.83 Typical High $3,715.35 | Facility | None | $34.67 | $177.83 | $3,715.35 |
Medica Setting Professional Modifier None Typical Low $223.87 Median $1,023.29 Typical High $7,244.36 | Professional | None | $223.87 | $1,023.29 | $7,244.36 |
United Setting Facility Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $5,370.32 | Facility | None | $5,128.61 | $5,128.61 | $5,370.32 |
United Setting Professional Modifier None Typical Low $20.89 Median $812.83 Typical High $1,318.26 | Professional | None | $20.89 | $812.83 | $1,318.26 |
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 $16.60 Median $537.03 Typical High $575.44 | Professional | 52 · Reduced service | $16.60 | $537.03 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $213.80 Typical High $229.09 | Professional | 53 · Discontinued | $6.61 | $213.80 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $173.78 Typical High $177.83 | Professional | 55 · Aftercare only | $165.96 | $173.78 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $114.82 Typical High $117.49 | Professional | 56 · Pre-op care only | $112.20 | $114.82 | $117.49 |
Where Missouri sits
The same service costs 49.0 times more in Hawaii than in Maryland. 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· 41st of 51
$851
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.