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 $501.19 Median $2,511.89 Typical High $7,585.78 | Facility | None | $501.19 | $2,511.89 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $117.49 Typical High $154.88 | Professional | None | $57.54 | $117.49 | $154.88 |
Ambetter Setting Professional Modifier None Typical Low $30.90 Median $53.70 Typical High $141.25 | Professional | None | $30.90 | $53.70 | $141.25 |
BCBS Setting Facility Modifier None Typical Low $389.05 Median $2,754.23 Typical High $4,786.30 | Facility | None | $389.05 | $2,754.23 | $4,786.30 |
BCBS Setting Professional Modifier None Typical Low $57.54 Median $147.91 Typical High $204.17 | Professional | None | $57.54 | $147.91 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $141.25 Typical High $1,122.02 | Facility | None | $117.49 | $141.25 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $102.33 Typical High $165.96 | Professional | None | $64.57 | $102.33 | $165.96 |
Medica Setting Facility Modifier None Typical Low $57.54 Median $562.34 Typical High $2,754.23 | Facility | None | $57.54 | $562.34 | $2,754.23 |
Medica Setting Professional Modifier None Typical Low $134.90 Median $549.54 Typical High $1,148.15 | Professional | None | $134.90 | $549.54 | $1,148.15 |
United Setting Facility Modifier None Typical Low $269.15 Median $1,174.90 Typical High $2,454.71 | Facility | None | $269.15 | $1,174.90 | $2,454.71 |
United Setting Professional Modifier None Typical Low $51.29 Median $109.65 Typical High $204.17 | Professional | None | $51.29 | $109.65 | $204.17 |
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 $28.84 Median $28.84 Typical High $77.62 | Professional | 52 · Reduced service | $28.84 | $28.84 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $30.90 | Professional | 53 · Discontinued | $11.48 | $11.48 | $30.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $42.66 Median $43.65 Typical High $117.49 | Professional | 54 · Surgery only | $42.66 | $43.65 | $117.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $8.71 Typical High $23.44 | Professional | 55 · Aftercare only | $8.51 | $8.71 | $23.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $5.75 Typical High $15.49 | Professional | 56 · Pre-op care only | $5.75 | $5.75 | $15.49 |
Where Oklahoma sits
The same service costs 2.6 times more in Alaska than in Montana. 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.
Oklahoma· 9th of 51
$186
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.