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 $70.79 Median $74.13 Typical High $147.91 | Facility | None | $70.79 | $74.13 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $72.44 Typical High $125.89 | Professional | None | $70.79 | $72.44 | $125.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $75.86 Median $100.00 Typical High $257.04 | Facility | None | $75.86 | $100.00 | $257.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $70.79 Median $91.20 Typical High $125.89 | Professional | None | $70.79 | $91.20 | $125.89 |
BCBS Kansas City Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $213.80 | Professional | None | $77.62 | $77.62 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $154.88 Typical High $181.97 | Facility | None | $89.13 | $154.88 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
Medica Setting Facility Modifier None Typical Low $75.86 Median $107.15 Typical High $501.19 | Facility | None | $75.86 | $107.15 | $501.19 |
Medica Setting Professional Modifier None Typical Low $69.18 Median $81.28 Typical High $89.13 | Professional | None | $69.18 | $81.28 | $89.13 |
United Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
United Setting Professional Modifier None Typical Low $66.07 Median $77.62 Typical High $87.10 | Professional | None | $66.07 | $77.62 | $87.10 |
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 $35.48 Median $36.31 Typical High $61.66 | Professional | 52 · Reduced service | $35.48 | $36.31 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.45 Typical High $25.12 | Professional | 53 · Discontinued | $14.13 | $14.45 | $25.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $10.96 Typical High $18.62 | Professional | 55 · Aftercare only | $10.47 | $10.96 | $18.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $7.24 Typical High $12.59 | Professional | 56 · Pre-op care only | $7.08 | $7.24 | $12.59 |
Where Missouri sits
The same service costs 1.5 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· 13th of 51
$75.86
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.