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 $38.02 Median $47.86 Typical High $66.07 | Facility | None | $38.02 | $47.86 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $47.86 | Professional | None | $38.02 | $38.02 | $47.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $39.81 Median $45.71 Typical High $134.90 | Facility | None | $39.81 | $45.71 | $134.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $36.31 Median $47.86 Typical High $47.86 | Professional | None | $36.31 | $47.86 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $67.61 Typical High $75.86 | Facility | None | $45.71 | $67.61 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
Medica Setting Facility Modifier None Typical Low $34.67 Median $85.11 Typical High $162.18 | Facility | None | $34.67 | $85.11 | $162.18 |
Medica Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $41.69 | Professional | None | $36.31 | $36.31 | $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 |
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 $19.05 Median $19.05 Typical High $23.99 | Professional | 52 · Reduced service | $19.05 | $19.05 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.59 Typical High $9.55 | Professional | 53 · Discontinued | $7.59 | $7.59 | $9.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.75 Median $5.75 Typical High $7.24 | Professional | 55 · Aftercare only | $5.75 | $5.75 | $7.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $3.80 Typical High $4.79 | Professional | 56 · Pre-op care only | $3.80 | $3.80 | $4.79 |
Where Missouri sits
The same service costs 1.8 times more in Alaska 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· 47th of 51
$39.81
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.