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 $1,023.29 Median $1,288.25 Typical High $1,548.82 | Facility | None | $1,023.29 | $1,288.25 | $1,548.82 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,288.25 | Professional | None | $1,023.29 | $1,023.29 | $1,288.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,071.52 Median $1,445.44 Typical High $2,818.38 | Facility | None | $1,071.52 | $1,445.44 | $2,818.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $954.99 Median $1,288.25 Typical High $1,288.25 | Professional | None | $954.99 | $1,288.25 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,819.70 Typical High $2,041.74 | Facility | None | $1,230.27 | $1,819.70 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
Medica Setting Facility Modifier None Typical Low $407.38 Median $1,071.52 Typical High $3,981.07 | Facility | None | $407.38 | $1,071.52 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,174.90 | Professional | None | $1,023.29 | $1,023.29 | $1,174.90 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,071.52 Typical High $1,230.27 | Professional | None | $1,023.29 | $1,071.52 | $1,230.27 |
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 $512.86 Median $512.86 Typical High $645.65 | Professional | 52 · Reduced service | $512.86 | $512.86 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $204.17 Typical High $257.04 | Professional | 53 · Discontinued | $204.17 | $204.17 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $154.88 Typical High $190.55 | Professional | 55 · Aftercare only | $154.88 | $154.88 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $102.33 Typical High $128.82 | Professional | 56 · Pre-op care only | $102.33 | $102.33 | $128.82 |
Where Missouri sits
The same service costs 8.3 times more in Arizona than in Montana. 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· 22nd of 51
$1,072
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.