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 $72.44 Median $1,412.54 Typical High $7,943.28 | Facility | None | $72.44 | $1,412.54 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $85.11 Typical High $107.15 | Professional | None | $69.18 | $85.11 | $107.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $42.66 Typical High $53.70 | Professional | 52 · Reduced service | $34.67 | $42.66 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $16.98 Typical High $21.38 | Professional | 53 · Discontinued | $13.80 | $16.98 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $12.59 Typical High $15.85 | Professional | 55 · Aftercare only | $10.23 | $12.59 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $8.51 Typical High $10.72 | Professional | 56 · Pre-op care only | $6.92 | $8.51 | $10.72 |
CareFirst Setting Professional Modifier None Typical Low $56.23 Median $63.10 Typical High $645.65 | Professional | None | $56.23 | $63.10 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $104.71 Typical High $288.40 | Professional | None | $64.57 | $104.71 | $288.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $123.03 Median $165.96 Typical High $245.47 | Professional | None | $123.03 | $165.96 | $245.47 |
United Setting Facility Modifier None Typical Low $109.65 Median $549.54 Typical High $1,548.82 | Facility | None | $109.65 | $549.54 | $1,548.82 |
United Setting Professional Modifier None Typical Low $58.88 Median $120.23 Typical High $269.15 | Professional | None | $58.88 | $120.23 | $269.15 |
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 $51.29 Median $63.10 Typical High $79.43 | Professional | 54 · Surgery only | $51.29 | $63.10 | $79.43 |
Where Washington, DC sits
The same service costs 3.8 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.
Washington, DC· 37th of 51
$93.33
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.