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 $2,818.38 Median $6,309.57 Typical High $13,182.57 | Facility | None | $2,818.38 | $6,309.57 | $13,182.57 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $457.09 | Professional | None | $323.59 | $323.59 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $8,912.51 Typical High $28,183.83 | Facility | None | $602.56 | $8,912.51 | $28,183.83 |
Medica Setting Facility Modifier None Typical Low $977.24 Median $5,888.44 Typical High $17,378.01 | Facility | None | $977.24 | $5,888.44 | $17,378.01 |
Medica Setting Professional Modifier None Typical Low $54.95 Median $75.86 Typical High $2,754.23 | Professional | None | $54.95 | $75.86 | $2,754.23 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $6,165.95 Typical High $18,197.01 | Facility | None | $1,122.02 | $6,165.95 | $18,197.01 |
United Setting Professional Modifier None Typical Low $54.95 Median $75.86 Typical High $354.81 | Professional | None | $54.95 | $75.86 | $354.81 |
5 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 $162.18 Median $162.18 Typical High $177.83 | Professional | 52 · Reduced service | $162.18 | $162.18 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $70.79 | Professional | 53 · Discontinued | $64.57 | $64.57 | $70.79 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $239.88 Typical High $269.15 | Professional | 54 · Surgery only | $239.88 | $239.88 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $47.86 Typical High $53.70 | Professional | 55 · Aftercare only | $47.86 | $47.86 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $32.36 Typical High $35.48 | Professional | 56 · Pre-op care only | $32.36 | $32.36 | $35.48 |
Where Kansas sits
The same service costs 93.3 times more in Oregon than in Vermont. 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.
Kansas· 22nd of 51
$1,738
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.