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 $239.88 Typical High $331.13 | Facility | None | $229.09 | $239.88 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $281.84 | Professional | None | $234.42 | $234.42 | $281.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $239.88 Median $316.23 Typical High $794.33 | Facility | None | $239.88 | $316.23 | $794.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $229.09 Median $251.19 Typical High $275.42 | Professional | None | $229.09 | $251.19 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $288.40 Typical High $676.08 | Facility | None | $263.03 | $288.40 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None | $234.42 | $234.42 | $234.42 |
Medica Setting Facility Modifier None Typical Low $213.80 Median $245.47 Typical High $1,122.02 | Facility | None | $213.80 | $245.47 | $1,122.02 |
Medica Setting Professional Modifier None Typical Low $208.93 Median $229.09 Typical High $263.03 | Professional | None | $208.93 | $229.09 | $263.03 |
United Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
United Setting Professional Modifier None Typical Low $218.78 Median $229.09 Typical High $263.03 | Professional | None | $218.78 | $229.09 | $263.03 |
2 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 55 · Aftercare only Typical Low $34.67 Median $34.67 Typical High $41.69 | Professional | 55 · Aftercare only | $34.67 | $34.67 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $23.44 Typical High $28.18 | Professional | 56 · Pre-op care only | $23.44 | $23.44 | $28.18 |
Where Missouri sits
The same service costs 1.6 times more in Arizona than in Hawaii. 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· 30th of 51
$234
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.