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 $83.18 Median $83.18 Typical High $102.33 | Facility | None | $83.18 | $83.18 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $102.33 Typical High $131.83 | Professional | None | $83.18 | $102.33 | $131.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $51.29 Typical High $66.07 | Professional | 52 · Reduced service | $41.69 | $51.29 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $20.42 Typical High $26.30 | Professional | 53 · Discontinued | $16.60 | $20.42 | $26.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $15.14 Typical High $19.95 | Professional | 55 · Aftercare only | $12.59 | $15.14 | $19.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $10.23 Typical High $13.18 | Professional | 56 · Pre-op care only | $8.32 | $10.23 | $13.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $97.72 Median $100.00 Typical High $134.90 | Professional | None | $97.72 | $100.00 | $134.90 |
BCBS Kansas City Setting Professional Modifier None Typical Low $77.62 Median $169.82 Typical High $309.03 | Professional | None | $77.62 | $169.82 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $389.05 Typical High $616.60 | Facility | None | $109.65 | $389.05 | $616.60 |
Medica Setting Professional Modifier None Typical Low $120.23 Median $691.83 Typical High $891.25 | Professional | None | $120.23 | $691.83 | $891.25 |
United Setting Professional Modifier None Typical Low $95.50 Median $134.90 Typical High $194.98 | Professional | None | $95.50 | $134.90 | $194.98 |
Where Missouri sits
The same service costs 2.8 times more in North Dakota than in New York. 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· 43rd of 51
$102
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.