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 $33.11 Median $1,000.00 Typical High $7,762.47 | Facility | None | $33.11 | $1,000.00 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $51.29 Typical High $117.49 | Professional | None | $33.11 | $51.29 | $117.49 |
BCBS Setting Facility Modifier None Typical Low $89.13 Median $316.23 Typical High $489.78 | Facility | None | $89.13 | $316.23 | $489.78 |
BCBS Setting Professional Modifier None Typical Low $33.11 Median $54.95 Typical High $114.82 | Professional | None | $33.11 | $54.95 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $602.56 | Facility | None | $537.03 | $537.03 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $74.13 Typical High $162.18 | Professional | None | $35.48 | $74.13 | $162.18 |
Molina Setting Professional Modifier None Typical Low $16.60 Median $60.26 Typical High $138.04 | Professional | None | $16.60 | $60.26 | $138.04 |
Providence Setting Facility Modifier None Typical Low $29.51 Median $85.11 Typical High $602.56 | Facility | None | $29.51 | $85.11 | $602.56 |
Providence Setting Professional Modifier None Typical Low $38.02 Median $74.13 Typical High $162.18 | Professional | None | $38.02 | $74.13 | $162.18 |
United Setting Facility Modifier None Typical Low $199.53 Median $275.42 Typical High $1,380.38 | Facility | None | $199.53 | $275.42 | $1,380.38 |
United Setting Professional Modifier None Typical Low $31.62 Median $58.88 Typical High $165.96 | Professional | None | $31.62 | $58.88 | $165.96 |
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 $16.60 Median $20.42 Typical High $58.88 | Professional | 52 · Reduced service | $16.60 | $20.42 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $8.13 Typical High $23.44 | Professional | 53 · Discontinued | $6.61 | $8.13 | $23.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $24.55 Median $30.20 Typical High $87.10 | Professional | 54 · Surgery only | $24.55 | $30.20 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.01 Median $6.03 Typical High $17.38 | Professional | 55 · Aftercare only | $5.01 | $6.03 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.31 Median $4.07 Typical High $11.75 | Professional | 56 · Pre-op care only | $3.31 | $4.07 | $11.75 |
Where New Mexico sits
The same service costs 3.3 times more in Alaska than in Kentucky. 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.
New Mexico· 44th 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.