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 $776.25 Median $954.99 Typical High $1,174.90 | Facility | None | $776.25 | $954.99 | $1,174.90 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $1,148.15 | Professional | None | $776.25 | $776.25 | $1,148.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $794.33 Median $1,071.52 Typical High $2,089.30 | Facility | None | $794.33 | $1,071.52 | $2,089.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $724.44 Median $954.99 Typical High $954.99 | Professional | None | $724.44 | $954.99 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $1,348.96 Typical High $1,513.56 | Facility | None | $912.01 | $1,348.96 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
Medica Setting Facility Modifier None Typical Low $794.33 Median $1,318.26 Typical High $3,801.89 | Facility | None | $794.33 | $1,318.26 | $3,801.89 |
Medica Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $1,479.11 | Professional | None | $794.33 | $794.33 | $1,479.11 |
United Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $1,000.00 | Professional | None | $794.33 | $794.33 | $1,000.00 |
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 $380.19 Median $380.19 Typical High $575.44 | Professional | 52 · Reduced service | $380.19 | $380.19 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $229.09 | Professional | 53 · Discontinued | $154.88 | $154.88 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $114.82 Typical High $169.82 | Professional | 55 · Aftercare only | $114.82 | $114.82 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $77.62 Typical High $114.82 | Professional | 56 · Pre-op care only | $77.62 | $77.62 | $114.82 |
Where Missouri sits
The same service costs 2.6 times more in Alabama than in Florida. 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· 38th of 51
$813
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.