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 $107.15 Median $109.65 Typical High $112.20 | Facility | None | $107.15 | $109.65 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $109.65 Typical High $128.82 | Professional | None | $107.15 | $109.65 | $128.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $51.29 Median $109.65 Typical High $134.90 | Professional | None | $51.29 | $109.65 | $134.90 |
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 $66.07 Median $112.20 Typical High $165.96 | Facility | None | $66.07 | $112.20 | $165.96 |
Medica Setting Professional Modifier None Typical Low $58.88 Median $64.57 Typical High $251.19 | Professional | None | $58.88 | $64.57 | $251.19 |
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 $53.70 Median $54.95 Typical High $64.57 | Professional | 52 · Reduced service | $53.70 | $54.95 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.88 Typical High $25.70 | Professional | 53 · Discontinued | $21.38 | $21.88 | $25.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $16.60 Typical High $19.05 | Professional | 55 · Aftercare only | $16.22 | $16.60 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $10.96 Typical High $12.88 | Professional | 56 · Pre-op care only | $10.72 | $10.96 | $12.88 |
Where Missouri sits
The same service costs 4.4 times more in Alaska than in Hawaii. 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· 36th 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.