How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $1,949.84 Median $4,897.79 Typical High $7,244.36 | Facility | None | $1,949.84 | $4,897.79 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,621.81 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,288.25 Median $1,445.44 Typical High $1,445.44 | Professional | 54 · Surgery only | $1,288.25 | $1,445.44 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,348.96 Typical High $3,090.30 | Facility | None | $707.95 | $1,348.96 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $3,388.44 | Professional | None | $1,318.26 | $1,318.26 | $3,388.44 |
United Setting Facility Modifier None Typical Low $229.09 Median $398.11 Typical High $1,698.24 | Facility | None | $229.09 | $398.11 | $1,698.24 |
United Setting Professional Modifier None Typical Low $1,174.90 Median $1,698.24 Typical High $2,454.71 | Professional | None | $1,174.90 | $1,698.24 | $2,454.71 |
1 more rate 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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Professional Modifier 58 · Staged procedure Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | 58 · Staged procedure | $2,570.40 | $2,570.40 | $2,570.40 |
Where Delaware sits
The same service costs 4.8 times more in Alaska than in Delaware. 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.
Delaware· 51st of 51
$1,514
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.