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 $2,754.23 Median $2,754.23 Typical High $2,884.03 | Facility | None | $2,754.23 | $2,754.23 | $2,884.03 |
Aetna Setting Professional Modifier None Typical Low $2,754.23 Median $2,884.03 Typical High $3,311.31 | Professional | None | $2,754.23 | $2,884.03 | $3,311.31 |
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 $281.84 | Facility | None | $125.89 | $190.55 | $281.84 |
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 $97.72 Median $288.40 Typical High $1,513.56 | Facility | None | $97.72 | $288.40 | $1,513.56 |
Medica Setting Professional Modifier None Typical Low $426.58 Median $524.81 Typical High $524.81 | Professional | None | $426.58 | $524.81 | $524.81 |
United Setting Professional Modifier None Typical Low $114.82 Median $125.89 Typical High $147.91 | Professional | None | $114.82 | $125.89 | $147.91 |
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 $1,380.38 Median $1,445.44 Typical High $1,659.59 | Professional | 52 · Reduced service | $1,380.38 | $1,445.44 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $562.34 Median $575.44 Typical High $660.69 | Professional | 53 · Discontinued | $562.34 | $575.44 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $416.87 Median $426.58 Typical High $501.19 | Professional | 55 · Aftercare only | $416.87 | $426.58 | $501.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $275.42 Median $288.40 Typical High $331.13 | Professional | 56 · Pre-op care only | $275.42 | $288.40 | $331.13 |
Where Missouri sits
The same service costs 37.2 times more in Wyoming than in North Carolina. 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· 44th of 51
$126
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.