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 $1,174.90 Median $3,715.35 Typical High $7,762.47 | Facility | None | $1,174.90 | $3,715.35 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $7.76 Median $9.77 Typical High $4,897.79 | Professional | None | $7.76 | $9.77 | $4,897.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $42.66 | Facility | None | $9.33 | $9.33 | $42.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.20 Median $3.02 Typical High $6.03 | Professional | None | $1.20 | $3.02 | $6.03 |
Cigna Setting Facility Modifier None Typical Low $6.61 Median $19.95 Typical High $23.44 | Facility | None | $6.61 | $19.95 | $23.44 |
Cigna Setting Professional Modifier None Typical Low $1.26 Median $1.26 Typical High $1.26 | Professional | None | $1.26 | $1.26 | $1.26 |
Medica Setting Facility Modifier None Typical Low $3.31 Median $10.96 Typical High $75.86 | Facility | None | $3.31 | $10.96 | $75.86 |
Medica Setting Professional Modifier None Typical Low $1.26 Median $1.82 Typical High $10.96 | Professional | None | $1.26 | $1.82 | $10.96 |
United Setting Facility Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Facility | None | $8.32 | $8.32 | $8.32 |
United Setting Professional Modifier None Typical Low $1.26 Median $3.31 Typical High $11.22 | Professional | None | $1.26 | $3.31 | $11.22 |
5 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 $3.63 Median $3.89 Typical High $4.79 | Professional | 52 · Reduced service | $3.63 | $3.89 | $4.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.45 Median $1.55 Typical High $1.95 | Professional | 53 · Discontinued | $1.45 | $1.55 | $1.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $5.50 Median $5.89 Typical High $7.24 | Professional | 54 · Surgery only | $5.50 | $5.89 | $7.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.10 Median $1.17 Typical High $1.45 | Professional | 55 · Aftercare only | $1.10 | $1.17 | $1.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.72 Median $0.78 Typical High $0.95 | Professional | 56 · Pre-op care only | $0.72 | $0.78 | $0.95 |
Where Missouri sits
The same service costs 25.7 times more in Kansas than in Delaware. 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· 42nd of 51
$3.39
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.