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 $2,089.30 Median $2,137.96 Typical High $8,511.38 | Facility | None | $2,089.30 | $2,137.96 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,454.71 | Professional | None | $2,089.30 | $2,089.30 | $2,454.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,089.30 Median $2,818.38 Typical High $6,918.31 | Facility | None | $2,089.30 | $2,818.38 | $6,918.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,995.26 Median $2,187.76 Typical High $2,630.27 | Professional | None | $1,995.26 | $2,187.76 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $3,548.13 Typical High $4,897.79 | Facility | None | $2,398.83 | $3,548.13 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | None | $2,089.30 | $2,089.30 | $2,089.30 |
Medica Setting Facility Modifier None Typical Low $1,905.46 Median $2,290.87 Typical High $9,549.93 | Facility | None | $1,905.46 | $2,290.87 | $9,549.93 |
Medica Setting Professional Modifier None Typical Low $1,778.28 Median $1,995.26 Typical High $2,290.87 | Professional | None | $1,778.28 | $1,995.26 | $2,290.87 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
United Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,290.87 | Professional | None | $1,995.26 | $1,995.26 | $2,290.87 |
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 $1,023.29 Median $1,023.29 Typical High $1,230.27 | Professional | 52 · Reduced service | $1,023.29 | $1,023.29 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $416.87 Typical High $501.19 | Professional | 53 · Discontinued | $416.87 | $416.87 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $309.03 Typical High $371.54 | Professional | 55 · Aftercare only | $309.03 | $309.03 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $208.93 Typical High $245.47 | Professional | 56 · Pre-op care only | $208.93 | $208.93 | $245.47 |
Where Missouri sits
The same service costs 2.0 times more in Alaska than in Oklahoma. 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· 30th of 51
$2,089
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.