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 $26.30 Median $31.62 Typical High $44.67 | Facility | None | $26.30 | $31.62 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $26.30 Typical High $44.67 | Professional | None | $25.70 | $26.30 | $44.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.70 Median $37.15 Typical High $70.79 | Facility | None | $25.70 | $37.15 | $70.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.70 Median $30.20 Typical High $37.15 | Professional | None | $25.70 | $30.20 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $43.65 Typical High $60.26 | Facility | None | $29.51 | $43.65 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Medica Setting Facility Modifier None Typical Low $25.70 Median $34.67 Typical High $109.65 | Facility | None | $25.70 | $34.67 | $109.65 |
Medica Setting Professional Modifier None Typical Low $23.44 Median $27.54 Typical High $32.36 | Professional | None | $23.44 | $27.54 | $32.36 |
United Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $31.62 | Professional | None | $27.54 | $27.54 | $31.62 |
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 $3.80 Median $3.80 Typical High $5.50 | Professional | 55 · Aftercare only | $3.80 | $3.80 | $5.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.51 Median $2.51 Typical High $3.72 | Professional | 56 · Pre-op care only | $2.51 | $2.51 | $3.72 |
Where Missouri sits
The same service costs 1.9 times more in Alaska than in New Jersey. 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· 29th of 51
$27.54
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.