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 $1,513.56 Median $1,548.82 Typical High $3,981.07 | Facility | None | $1,513.56 | $1,548.82 | $3,981.07 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $37.15 Typical High $50.12 | Professional | None | $22.91 | $37.15 | $50.12 |
BCBS Setting Professional Modifier None Typical Low $20.89 Median $36.31 Typical High $61.66 | Professional | None | $20.89 | $36.31 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $1,202.26 | Facility | None | $269.15 | $269.15 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $41.69 Typical High $95.50 | Professional | None | $22.39 | $41.69 | $95.50 |
United Setting Facility Modifier None Typical Low $97.72 Median $204.17 Typical High $3,890.45 | Facility | None | $97.72 | $204.17 | $3,890.45 |
United Setting Professional Modifier None Typical Low $22.91 Median $40.74 Typical High $79.43 | Professional | None | $22.91 | $40.74 | $79.43 |
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 $11.22 Median $12.59 Typical High $18.62 | Professional | 52 · Reduced service | $11.22 | $12.59 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $5.13 Typical High $7.41 | Professional | 53 · Discontinued | $4.57 | $5.13 | $7.41 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $16.98 Median $19.05 Typical High $28.18 | Professional | 54 · Surgery only | $16.98 | $19.05 | $28.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.39 Median $3.80 Typical High $5.62 | Professional | 55 · Aftercare only | $3.39 | $3.80 | $5.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.29 Median $2.51 Typical High $3.72 | Professional | 56 · Pre-op care only | $2.29 | $2.51 | $3.72 |
Where Rhode Island sits
The same service costs 3.5 times more in Alaska than in New Jersey. 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.
Rhode Island· 46th of 51
$39.81
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.