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 $30.20 Median $30.20 Typical High $30.90 | Facility | None | $30.20 | $30.20 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $30.90 Typical High $35.48 | Professional | None | $30.20 | $30.90 | $35.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $37.15 Median $109.65 Typical High $134.90 | Professional | None | $37.15 | $109.65 | $134.90 |
BCBS Kansas City Setting Professional Modifier None Typical Low $120.23 Median $138.04 Typical High $181.97 | Professional | None | $120.23 | $138.04 | $181.97 |
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 $31.62 Median $75.86 Typical High $134.90 | Facility | None | $31.62 | $75.86 | $134.90 |
Medica Setting Professional Modifier None Typical Low $27.54 Median $30.90 Typical High $134.90 | Professional | None | $27.54 | $30.90 | $134.90 |
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 $14.79 Median $15.49 Typical High $17.78 | Professional | 52 · Reduced service | $14.79 | $15.49 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.17 Typical High $7.24 | Professional | 53 · Discontinued | $6.03 | $6.17 | $7.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.47 Median $4.57 Typical High $5.37 | Professional | 55 · Aftercare only | $4.47 | $4.57 | $5.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.02 Median $3.09 Typical High $3.63 | Professional | 56 · Pre-op care only | $3.02 | $3.09 | $3.63 |
Where Missouri sits
The same service costs 4.2 times more in Wyoming than in Pennsylvania. 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· 26th 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.