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 $12.02 Median $22.91 Typical High $63.10 | Facility | None | $12.02 | $22.91 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $45.71 | Professional | None | $19.05 | $19.05 | $45.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.22 Median $21.88 Typical High $50.12 | Facility | None | $16.22 | $21.88 | $50.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.02 Median $19.05 Typical High $45.71 | Professional | None | $12.02 | $19.05 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $33.11 Typical High $45.71 | Facility | None | $21.88 | $33.11 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None | $19.05 | $19.05 | $19.05 |
Medica Setting Facility Modifier None Typical Low $11.48 Median $22.91 Typical High $85.11 | Facility | None | $11.48 | $22.91 | $85.11 |
Medica Setting Professional Modifier None Typical Low $9.77 Median $10.72 Typical High $12.59 | Professional | None | $9.77 | $10.72 | $12.59 |
United Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $15.14 | Professional | None | $12.02 | $12.02 | $15.14 |
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 $9.55 Median $9.55 Typical High $22.91 | Professional | 52 · Reduced service | $9.55 | $9.55 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $3.80 Typical High $9.12 | Professional | 53 · Discontinued | $3.80 | $3.80 | $9.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.82 Median $2.82 Typical High $6.76 | Professional | 55 · Aftercare only | $2.82 | $2.82 | $6.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.91 Median $1.91 Typical High $4.57 | Professional | 56 · Pre-op care only | $1.91 | $1.91 | $4.57 |
Where Missouri sits
The same service costs 2.7 times more in Wyoming than in Maryland. 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· 30th of 51
$19.05
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.