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 $39.81 Median $44.67 Typical High $102.33 | Facility | None | $39.81 | $44.67 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $52.48 | Professional | None | $43.65 | $43.65 | $52.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $43.65 Median $74.13 Typical High $123.03 | Facility | None | $43.65 | $74.13 | $123.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $39.81 Median $43.65 Typical High $60.26 | Professional | None | $39.81 | $43.65 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $75.86 Typical High $102.33 | Facility | None | $50.12 | $75.86 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
Medica Setting Facility Modifier None Typical Low $33.11 Median $70.79 Typical High $275.42 | Facility | None | $33.11 | $70.79 | $275.42 |
Medica Setting Professional Modifier None Typical Low $53.70 Median $67.61 Typical High $67.61 | Professional | None | $53.70 | $67.61 | $67.61 |
United Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $63.10 | Professional | None | $54.95 | $54.95 | $63.10 |
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 $21.88 Median $21.88 Typical High $26.30 | Professional | 52 · Reduced service | $21.88 | $21.88 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $10.47 | Professional | 53 · Discontinued | $8.71 | $8.71 | $10.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.61 Median $6.61 Typical High $7.94 | Professional | 55 · Aftercare only | $6.61 | $6.61 | $7.94 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.37 Median $4.37 Typical High $5.25 | Professional | 56 · Pre-op care only | $4.37 | $4.37 | $5.25 |
Where Missouri sits
The same service costs 2.0 times more in Alaska than in Wyoming. 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· 17th of 51
$54.95
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.