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 $54.95 Median $56.23 Typical High $281.84 | Facility | None | $54.95 | $56.23 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $56.23 Typical High $66.07 | Professional | None | $54.95 | $56.23 | $66.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $58.88 Median $75.86 Typical High $194.98 | Facility | None | $58.88 | $75.86 | $194.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $54.95 Median $70.79 Typical High $87.10 | Professional | None | $54.95 | $70.79 | $87.10 |
BCBS Kansas City Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $147.91 | Professional | None | $60.26 | $60.26 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $117.49 Typical High $141.25 | Facility | None | $69.18 | $117.49 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
Medica Setting Facility Modifier None Typical Low $20.42 Median $112.20 Typical High $457.09 | Facility | None | $20.42 | $112.20 | $457.09 |
Medica Setting Professional Modifier None Typical Low $77.62 Median $316.23 Typical High $316.23 | Professional | None | $77.62 | $316.23 | $316.23 |
United Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
United Setting Professional Modifier None Typical Low $50.12 Median $58.88 Typical High $66.07 | Professional | None | $50.12 | $58.88 | $66.07 |
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 $27.54 Median $28.18 Typical High $33.11 | Professional | 52 · Reduced service | $27.54 | $28.18 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $11.22 Typical High $13.18 | Professional | 53 · Discontinued | $10.96 | $11.22 | $13.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $8.51 Typical High $10.00 | Professional | 55 · Aftercare only | $8.32 | $8.51 | $10.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $5.62 Typical High $6.61 | Professional | 56 · Pre-op care only | $5.50 | $5.62 | $6.61 |
Where Missouri sits
Rates are fairly even across states for this service. 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· 9th of 51
$66.07
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.