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 $2.51 Median $2.57 Typical High $15.14 | Facility | None | $2.51 | $2.57 | $15.14 |
Aetna Setting Professional Modifier None Typical Low $2.51 Median $2.57 Typical High $2.95 | Professional | None | $2.51 | $2.57 | $2.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $97.72 Median $109.65 Typical High $138.04 | Professional | None | $97.72 | $109.65 | $138.04 |
BCBS Kansas City Setting Professional Modifier None Typical Low $120.23 Median $138.04 Typical High $177.83 | Professional | None | $120.23 | $138.04 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $190.55 Typical High $269.15 | Facility | None | $125.89 | $190.55 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Medica Setting Facility Modifier None Typical Low $2.57 Median $15.14 Typical High $85.11 | Facility | None | $2.57 | $15.14 | $85.11 |
Medica Setting Professional Modifier None Typical Low $2.45 Median $2.45 Typical High $5,370.32 | Professional | None | $2.45 | $2.45 | $5,370.32 |
United Setting Professional Modifier None Typical Low $114.82 Median $125.89 Typical High $144.54 | Professional | None | $114.82 | $125.89 | $144.54 |
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 $1.26 Median $1.29 Typical High $1.48 | Professional | 52 · Reduced service | $1.26 | $1.29 | $1.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.50 Median $0.51 Typical High $0.60 | Professional | 53 · Discontinued | $0.50 | $0.51 | $0.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.37 Median $0.38 Typical High $0.45 | Professional | 55 · Aftercare only | $0.37 | $0.38 | $0.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.25 Median $0.26 Typical High $0.30 | Professional | 56 · Pre-op care only | $0.25 | $0.26 | $0.30 |
Where Missouri sits
The same service costs 50.1 times more in Massachusetts than in Indiana. 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· 21st of 51
$110
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.