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 $42.66 Typical High $58.88 | Facility | None | $39.81 | $42.66 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $50.12 | Professional | None | $41.69 | $41.69 | $50.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $41.69 Median $56.23 Typical High $141.25 | Facility | None | $41.69 | $56.23 | $141.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $39.81 Median $43.65 Typical High $47.86 | Professional | None | $39.81 | $43.65 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $51.29 Typical High $120.23 | Facility | None | $46.77 | $51.29 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
Medica Setting Facility Modifier None Typical Low $37.15 Median $42.66 Typical High $194.98 | Facility | None | $37.15 | $42.66 | $194.98 |
Medica Setting Professional Modifier None Typical Low $36.31 Median $39.81 Typical High $44.67 | Professional | None | $36.31 | $39.81 | $44.67 |
United Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
United Setting Professional Modifier None Typical Low $38.02 Median $39.81 Typical High $45.71 | Professional | None | $38.02 | $39.81 | $45.71 |
2 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 55 · Aftercare only Typical Low $6.17 Median $6.17 Typical High $7.41 | Professional | 55 · Aftercare only | $6.17 | $6.17 | $7.41 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $4.17 Typical High $5.01 | Professional | 56 · Pre-op care only | $4.17 | $4.17 | $5.01 |
Where Missouri sits
The same service costs 1.7 times more in Arizona than in Nebraska. 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· 37th of 51
$41.69
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.