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 $21.38 Typical High $43.65 | Facility | None | $12.02 | $21.38 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $12.02 Typical High $30.90 | Professional | None | $11.48 | $12.02 | $30.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.59 Median $18.62 Typical High $48.98 | Facility | None | $12.59 | $18.62 | $48.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.48 Median $17.38 Typical High $30.90 | Professional | None | $11.48 | $17.38 | $30.90 |
BCBS Kansas City Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $52.48 | Professional | None | $12.88 | $12.88 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $27.54 Typical High $30.90 | Facility | None | $14.45 | $27.54 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | None | $11.48 | $11.48 | $11.48 |
Medica Setting Facility Modifier None Typical Low $12.02 Median $30.90 Typical High $109.65 | Facility | None | $12.02 | $30.90 | $109.65 |
Medica Setting Professional Modifier None Typical Low $12.02 Median $89.13 Typical High $89.13 | Professional | None | $12.02 | $89.13 | $89.13 |
United Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
United Setting Professional Modifier None Typical Low $12.59 Median $14.79 Typical High $16.60 | Professional | None | $12.59 | $14.79 | $16.60 |
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 $5.75 Median $6.03 Typical High $15.49 | Professional | 52 · Reduced service | $5.75 | $6.03 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.40 Typical High $6.31 | Professional | 53 · Discontinued | $2.29 | $2.40 | $6.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.74 Median $1.78 Typical High $4.68 | Professional | 55 · Aftercare only | $1.74 | $1.78 | $4.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.15 Median $1.20 Typical High $3.09 | Professional | 56 · Pre-op care only | $1.15 | $1.20 | $3.09 |
Where Missouri sits
The same service costs 1.8 times more in Alaska than in Kentucky. 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· 14th of 51
$13.80
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.