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 $2,137.96 Median $2,454.71 Typical High $2,951.21 | Facility | None | $2,137.96 | $2,454.71 | $2,951.21 |
Aetna Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,754.23 | Professional | None | $2,137.96 | $2,137.96 | $2,754.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,238.72 Median $2,884.03 Typical High $7,413.10 | Facility | None | $2,238.72 | $2,884.03 | $7,413.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,137.96 Median $2,344.23 Typical High $2,454.71 | Professional | None | $2,137.96 | $2,344.23 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $3,715.35 Typical High $5,128.61 | Facility | None | $2,454.71 | $3,715.35 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | None | $2,137.96 | $2,137.96 | $2,137.96 |
Medica Setting Facility Modifier None Typical Low $1,995.26 Median $2,454.71 Typical High $10,471.29 | Facility | None | $1,995.26 | $2,454.71 | $10,471.29 |
Medica Setting Professional Modifier None Typical Low $1,905.46 Median $2,089.30 Typical High $2,398.83 | Professional | None | $1,905.46 | $2,089.30 | $2,398.83 |
United Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
United Setting Professional Modifier None Typical Low $1,995.26 Median $2,137.96 Typical High $2,398.83 | Professional | None | $1,995.26 | $2,137.96 | $2,398.83 |
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 $1,071.52 Median $1,071.52 Typical High $1,288.25 | Professional | 52 · Reduced service | $1,071.52 | $1,071.52 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $436.52 Typical High $512.86 | Professional | 53 · Discontinued | $436.52 | $436.52 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $323.59 Median $323.59 Typical High $389.05 | Professional | 55 · Aftercare only | $323.59 | $323.59 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $213.80 Median $213.80 Typical High $257.04 | Professional | 56 · Pre-op care only | $213.80 | $213.80 | $257.04 |
Where Missouri sits
The same service costs 2.0 times more in Arizona than in Alabama. 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
$2,138
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.