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 $20.42 Median $89.13 Typical High $123.03 | Facility | None | $20.42 | $89.13 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $89.13 | Professional | None | $20.42 | $20.42 | $89.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $22.39 Median $34.67 Typical High $112.20 | Facility | None | $22.39 | $34.67 | $112.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $20.42 Median $35.48 Typical High $89.13 | Professional | None | $20.42 | $35.48 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $47.86 Typical High $58.88 | Facility | None | $25.70 | $47.86 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None | $20.42 | $20.42 | $20.42 |
Medica Setting Facility Modifier None Typical Low $25.70 Median $89.13 Typical High $151.36 | Facility | None | $25.70 | $89.13 | $151.36 |
Medica Setting Professional Modifier None Typical Low $21.88 Median $24.55 Typical High $28.18 | Professional | None | $21.88 | $24.55 | $28.18 |
United Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $39.81 | Professional | None | $32.36 | $32.36 | $39.81 |
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 $10.23 Median $10.23 Typical High $44.67 | Professional | 52 · Reduced service | $10.23 | $10.23 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.07 Typical High $17.78 | Professional | 53 · Discontinued | $4.07 | $4.07 | $17.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.02 Median $3.02 Typical High $13.49 | Professional | 55 · Aftercare only | $3.02 | $3.02 | $13.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.04 Median $2.04 Typical High $8.91 | Professional | 56 · Pre-op care only | $2.04 | $2.04 | $8.91 |
Where Missouri sits
The same service costs 3.8 times more in Oklahoma than in Delaware. 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· 16th of 51
$32.36
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.