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 $2.82 Median $3.63 Typical High $7.94 | Facility | None | $2.82 | $3.63 | $7.94 |
Aetna Setting Professional Modifier None Typical Low $2.82 Median $2.95 Typical High $6.61 | Professional | None | $2.82 | $2.95 | $6.61 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.82 Median $4.17 Typical High $7.94 | Facility | None | $2.82 | $4.17 | $7.94 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.82 Median $3.39 Typical High $6.61 | Professional | None | $2.82 | $3.39 | $6.61 |
Cigna Setting Facility Modifier None Typical Low $3.31 Median $5.01 Typical High $6.76 | Facility | None | $3.31 | $5.01 | $6.76 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $2.82 Typical High $2.82 | Professional | None | $2.82 | $2.82 | $2.82 |
Medica Setting Facility Modifier None Typical Low $3.24 Median $3.98 Typical High $6.76 | Facility | None | $3.24 | $3.98 | $6.76 |
Medica Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $3.63 | Professional | None | $3.02 | $3.02 | $3.63 |
United Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $4.57 | Professional | None | $3.09 | $3.09 | $4.57 |
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 $1.45 Median $1.45 Typical High $3.31 | Professional | 52 · Reduced service | $1.45 | $1.45 | $3.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.56 Median $0.56 Typical High $1.32 | Professional | 53 · Discontinued | $0.56 | $0.56 | $1.32 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.43 Median $0.43 Typical High $1.00 | Professional | 55 · Aftercare only | $0.43 | $0.43 | $1.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.28 Median $0.28 Typical High $0.66 | Professional | 56 · Pre-op care only | $0.28 | $0.28 | $0.66 |
Where Missouri sits
The same service costs 2.0 times more in Wyoming than in Florida. 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· 40th of 51
$3.09
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.