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 $1,202.26 Median $4,466.84 Typical High $12,589.25 | Facility | None | $1,202.26 | $4,466.84 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,905.46 | $1,905.46 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,071.52 Typical High $1,412.54 | Facility | None | $891.25 | $1,071.52 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,905.46 Typical High $2,511.89 | Professional | None | $1,288.25 | $1,905.46 | $2,511.89 |
Medica Setting Facility Modifier None Typical Low $269.15 Median $1,995.26 Typical High $3,467.37 | Facility | None | $269.15 | $1,995.26 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $1,513.56 Median $2,089.30 Typical High $13,182.57 | Professional | None | $1,513.56 | $2,089.30 | $13,182.57 |
United Setting Facility Modifier None Typical Low $269.15 Median $1,258.93 Typical High $2,511.89 | Facility | None | $269.15 | $1,258.93 | $2,511.89 |
United Setting Professional Modifier None Typical Low $1,380.38 Median $1,862.09 Typical High $2,691.53 | Professional | None | $1,380.38 | $1,862.09 | $2,691.53 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | 54 · Surgery only | $1,412.54 | $1,412.54 | $1,412.54 |
Where Oklahoma 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.
Oklahoma· 38th of 51
$1,905
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.