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 $338.84 Median $4,073.80 Typical High $5,754.40 | Facility | None | $338.84 | $4,073.80 | $5,754.40 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $4,677.35 Typical High $9,772.37 | Professional | None | $338.84 | $4,677.35 | $9,772.37 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $169.82 Median $2,344.23 Typical High $2,818.38 | Professional | 52 · Reduced service | $169.82 | $2,344.23 | $2,818.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $933.25 Typical High $1,148.15 | Professional | 53 · Discontinued | $67.61 | $933.25 | $1,148.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $707.95 Typical High $851.14 | Professional | 55 · Aftercare only | $51.29 | $707.95 | $851.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $467.74 Typical High $575.44 | Professional | 56 · Pre-op care only | $33.88 | $467.74 | $575.44 |
CareFirst Setting Professional Modifier None Typical Low $323.59 Median $363.08 Typical High $7,943.28 | Professional | None | $323.59 | $363.08 | $7,943.28 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $933.25 Typical High $14,454.40 | Professional | None | $323.59 | $933.25 | $14,454.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $776.25 Median $5,754.40 Typical High $12,302.69 | Professional | None | $776.25 | $5,754.40 | $12,302.69 |
United Setting Facility Modifier None Typical Low $2,754.23 Median $5,128.61 Typical High $42,657.95 | Facility | None | $2,754.23 | $5,128.61 | $42,657.95 |
United Setting Professional Modifier None Typical Low $338.84 Median $954.99 Typical High $13,489.63 | Professional | None | $338.84 | $954.99 | $13,489.63 |
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 $257.04 Median $3,548.13 Typical High $4,265.80 | Professional | 54 · Surgery only | $257.04 | $3,548.13 | $4,265.80 |
Where Washington, DC sits
The same service costs 18.2 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.
Washington, DC· 40th of 51
$871
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.