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 $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $165.96 | Professional | None | $85.11 | $85.11 | $165.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $42.66 Typical High $83.18 | Professional | 52 · Reduced service | $42.66 | $42.66 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $33.11 | Professional | 53 · Discontinued | $16.98 | $16.98 | $33.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $12.88 Typical High $25.12 | Professional | 55 · Aftercare only | $12.88 | $12.88 | $25.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $8.51 Typical High $16.60 | Professional | 56 · Pre-op care only | $8.51 | $8.51 | $16.60 |
Anthem BCBS Setting Professional Modifier None Typical Low $38.02 Median $47.86 Typical High $47.86 | Professional | None | $38.02 | $47.86 | $47.86 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $229.09 Typical High $537.03 | Facility | None | $100.00 | $229.09 | $537.03 |
Medica Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None | $630.96 | $630.96 | $630.96 |
United Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $173.78 | Facility | None | $162.18 | $162.18 | $173.78 |
Where Missouri sits
The same service costs 53.7 times more in Oklahoma than in Missouri. 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· 51st of 51
$47.86
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.