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 $691.83 Median $776.25 Typical High $1,096.48 | Facility | None | $691.83 | $776.25 | $1,096.48 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $707.95 Typical High $812.83 | Professional | None | $691.83 | $707.95 | $812.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $724.44 Median $933.25 Typical High $2,398.83 | Facility | None | $724.44 | $933.25 | $2,398.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $691.83 Median $776.25 Typical High $794.33 | Professional | None | $691.83 | $776.25 | $794.33 |
BCBS Kansas City Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,318.26 | Professional | None | $758.58 | $758.58 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,513.56 Typical High $1,737.80 | Facility | None | $851.14 | $1,513.56 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
Medica Setting Facility Modifier None Typical Low $588.84 Median $707.95 Typical High $3,235.94 | Facility | None | $588.84 | $707.95 | $3,235.94 |
Medica Setting Professional Modifier None Typical Low $676.08 Median $2,818.38 Typical High $2,818.38 | Professional | None | $676.08 | $2,818.38 | $2,818.38 |
United Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
United Setting Professional Modifier None Typical Low $616.60 Median $724.44 Typical High $776.25 | Professional | None | $616.60 | $724.44 | $776.25 |
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 $338.84 Median $354.81 Typical High $407.38 | Professional | 52 · Reduced service | $338.84 | $354.81 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $141.25 Typical High $165.96 | Professional | 53 · Discontinued | $138.04 | $141.25 | $165.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $104.71 Typical High $123.03 | Professional | 55 · Aftercare only | $102.33 | $104.71 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $70.79 Typical High $81.28 | Professional | 56 · Pre-op care only | $69.18 | $70.79 | $81.28 |
Where Missouri sits
Rates are fairly even across states for this service. 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· 12th of 51
$724
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.