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 $208.93 Median $389.05 Typical High $14,125.38 | Facility | None | $208.93 | $389.05 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $223.87 Typical High $371.54 | Professional | None | $52.48 | $223.87 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $100.00 Typical High $309.03 | Facility | None | $60.26 | $100.00 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $104.71 Typical High $199.53 | Professional | None | $46.77 | $104.71 | $199.53 |
Moda Health Setting Facility Modifier None Typical Low $204.17 Median $616.60 Typical High $2,754.23 | Facility | None | $204.17 | $616.60 | $2,754.23 |
Moda Health Setting Professional Modifier None Typical Low $58.88 Median $208.93 Typical High $407.38 | Professional | None | $58.88 | $208.93 | $407.38 |
Premera BCBS Setting Facility Modifier None Typical Low $61.66 Median $91.20 Typical High $128.82 | Facility | None | $61.66 | $91.20 | $128.82 |
Premera BCBS Setting Professional Modifier None Typical Low $181.97 Median $263.03 Typical High $263.03 | Professional | None | $181.97 | $263.03 | $263.03 |
Providence Setting Facility Modifier None Typical Low $83.18 Median $181.97 Typical High $501.19 | Facility | None | $83.18 | $181.97 | $501.19 |
Providence Setting Professional Modifier None Typical Low $56.23 Median $91.20 Typical High $154.88 | Professional | None | $56.23 | $91.20 | $154.88 |
United Setting Facility Modifier None Typical Low $478.63 Median $954.99 Typical High $1,174.90 | Facility | None | $478.63 | $954.99 | $1,174.90 |
United Setting Professional Modifier None Typical Low $58.88 Median $162.18 Typical High $331.13 | Professional | None | $58.88 | $162.18 | $331.13 |
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 $22.91 Median $112.20 Typical High $154.88 | Professional | 52 · Reduced service | $22.91 | $112.20 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $44.67 Typical High $61.66 | Professional | 53 · Discontinued | $9.12 | $44.67 | $61.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $33.88 Median $169.82 Typical High $234.42 | Professional | 54 · Surgery only | $33.88 | $169.82 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $33.88 Typical High $46.77 | Professional | 55 · Aftercare only | $6.92 | $33.88 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $22.39 Typical High $30.90 | Professional | 56 · Pre-op care only | $4.57 | $22.39 | $30.90 |
Where Alaska sits
The same service costs 4.2 times more in Alaska than in Florida. 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.
Alaska· 1st of 51
$224
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.