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 $8.71 Median $10.96 Typical High $44.67 | Facility | None | $8.71 | $10.96 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $44.67 | Professional | None | $8.51 | $8.51 | $44.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.51 Median $12.59 Typical High $23.99 | Facility | None | $8.51 | $12.59 | $23.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.51 Median $10.23 Typical High $44.67 | Professional | None | $8.51 | $10.23 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $9.77 Median $14.79 Typical High $25.12 | Facility | None | $9.77 | $14.79 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | None | $8.51 | $8.51 | $8.51 |
Medica Setting Facility Modifier None Typical Low $13.49 Median $47.86 Typical High $100.00 | Facility | None | $13.49 | $47.86 | $100.00 |
Medica Setting Professional Modifier None Typical Low $10.96 Median $11.75 Typical High $13.49 | Professional | None | $10.96 | $11.75 | $13.49 |
United Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $11.75 | Professional | None | $9.33 | $9.33 | $11.75 |
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 $4.27 Median $4.27 Typical High $22.39 | Professional | 52 · Reduced service | $4.27 | $4.27 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $1.70 Typical High $8.91 | Professional | 53 · Discontinued | $1.70 | $1.70 | $8.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.29 Median $1.29 Typical High $6.61 | Professional | 55 · Aftercare only | $1.29 | $1.29 | $6.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.85 Median $0.85 Typical High $4.47 | Professional | 56 · Pre-op care only | $0.85 | $0.85 | $4.47 |
Where Missouri sits
The same service costs 6.5 times more in Oklahoma than in Alabama. 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· 19th of 51
$10.72
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.