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 $1,819.70 Median $2,187.76 Typical High $2,187.76 | Facility | None | $1,819.70 | $2,187.76 | $2,187.76 |
Aetna Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,187.76 | Professional | None | $1,862.09 | $1,862.09 | $2,187.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,905.46 Median $2,511.89 Typical High $6,309.57 | Facility | None | $1,905.46 | $2,511.89 | $6,309.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,819.70 Median $1,995.26 Typical High $2,187.76 | Professional | None | $1,819.70 | $1,995.26 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $2,137.96 Median $3,162.28 Typical High $4,365.16 | Facility | None | $2,137.96 | $3,162.28 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
Medica Setting Facility Modifier None Typical Low $1,548.82 Median $1,905.46 Typical High $9,120.11 | Facility | None | $1,548.82 | $1,905.46 | $9,120.11 |
Medica Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,089.30 | Professional | None | $1,819.70 | $1,819.70 | $2,089.30 |
United Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
United Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,089.30 | Professional | None | $1,819.70 | $1,819.70 | $2,089.30 |
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 $933.25 Median $933.25 Typical High $1,096.48 | Professional | 52 · Reduced service | $933.25 | $933.25 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $371.54 Typical High $436.52 | Professional | 53 · Discontinued | $371.54 | $371.54 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $281.84 Median $281.84 Typical High $331.13 | Professional | 55 · Aftercare only | $281.84 | $281.84 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $186.21 Typical High $218.78 | Professional | 56 · Pre-op care only | $186.21 | $186.21 | $218.78 |
Where Missouri sits
The same service costs 3.2 times more in Alabama 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· 21st of 51
$1,905
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.