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 $1,258.93 Median $1,258.93 Typical High $1,513.56 | Facility | None | $1,258.93 | $1,258.93 | $1,513.56 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,513.56 | Professional | None | $1,258.93 | $1,258.93 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $794.33 Typical High $1,148.15 | Facility | None | $630.96 | $794.33 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $1,445.44 Median $1,778.28 Typical High $2,089.30 | Professional | None | $1,445.44 | $1,778.28 | $2,089.30 |
Medica Setting Facility Modifier None Typical Low $1,318.26 Median $2,344.23 Typical High $8,709.64 | Facility | None | $1,318.26 | $2,344.23 | $8,709.64 |
Medica Setting Professional Modifier None Typical Low $1,380.38 Median $8,709.64 Typical High $10,964.78 | Professional | None | $1,380.38 | $8,709.64 | $10,964.78 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $5,370.32 Typical High $10,715.19 | Facility | None | $1,584.89 | $5,370.32 | $10,715.19 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $1,479.11 Typical High $1,995.26 | Professional | None | $1,096.48 | $1,479.11 | $1,995.26 |
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 $616.60 Median $616.60 Typical High $758.58 | Professional | 52 · Reduced service | $616.60 | $616.60 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $251.19 Typical High $302.00 | Professional | 53 · Discontinued | $251.19 | $251.19 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $186.21 Typical High $229.09 | Professional | 55 · Aftercare only | $186.21 | $186.21 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $125.89 Typical High $151.36 | Professional | 56 · Pre-op care only | $125.89 | $125.89 | $151.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $870.96 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $870.96 | $870.96 | $1,071.52 |
Where Oklahoma sits
The same service costs 5.1 times more in Alaska than in Texas. 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· 26th of 51
$1,778
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.