How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $3,890.45 Median $3,890.45 Typical High $5,754.40 | Facility | None | $3,890.45 | $3,890.45 | $5,754.40 |
Aetna Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Professional | None | $3,890.45 | $3,890.45 | $3,890.45 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.02 Median $0.02 Typical High $0.03 | Facility | None | $0.02 | $0.02 | $0.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $4,786.30 Median $5,623.41 Typical High $5,623.41 | Professional | None | $4,786.30 | $5,623.41 | $5,623.41 |
Cigna Setting Facility Modifier None Typical Low $6,025.60 Median $11,481.54 Typical High $12,302.69 | Facility | None | $6,025.60 | $11,481.54 | $12,302.69 |
Cigna Setting Professional Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Professional | None | $4,786.30 | $4,786.30 | $4,786.30 |
Medica Setting Facility Modifier None Typical Low $3,890.45 Median $4,897.79 Typical High $9,772.37 | Facility | None | $3,890.45 | $4,897.79 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $5,128.61 Median $6,025.60 Typical High $7,079.46 | Professional | None | $5,128.61 | $6,025.60 | $7,079.46 |
United Setting Professional Modifier None Typical Low $5,128.61 Median $5,623.41 Typical High $6,456.54 | Professional | None | $5,128.61 | $5,623.41 | $6,456.54 |
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 $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | 52 · Reduced service | $1,949.84 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | 53 · Discontinued | $776.25 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | 55 · Aftercare only | $575.44 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | 56 · Pre-op care only | $389.05 | $389.05 | $389.05 |
Where Missouri sits
The same service costs 1.5 times more in Alaska than in Idaho. 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· 16th of 51
$5,129
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.