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 $128.82 Median $239.88 Typical High $380.19 | Facility | None | $128.82 | $239.88 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $194.98 Typical High $323.59 | Professional | None | $45.71 | $194.98 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $95.50 Typical High $194.98 | Professional | None | $41.69 | $95.50 | $194.98 |
Moda Health Setting Facility Modifier None Typical Low $120.23 Median $323.59 Typical High $758.58 | Facility | None | $120.23 | $323.59 | $758.58 |
Moda Health Setting Professional Modifier None Typical Low $60.26 Median $194.98 Typical High $380.19 | Professional | None | $60.26 | $194.98 | $380.19 |
Premera BCBS Setting Facility Modifier None Typical Low $120.23 Median $144.54 Typical High $223.87 | Facility | None | $120.23 | $144.54 | $223.87 |
Premera BCBS Setting Professional Modifier None Typical Low $165.96 Median $275.42 Typical High $275.42 | Professional | None | $165.96 | $275.42 | $275.42 |
Providence Setting Facility Modifier None Typical Low $208.93 Median $295.12 Typical High $549.54 | Facility | None | $208.93 | $295.12 | $549.54 |
Providence Setting Professional Modifier None Typical Low $53.70 Median $87.10 Typical High $151.36 | Professional | None | $53.70 | $87.10 | $151.36 |
United Setting Facility Modifier None Typical Low $478.63 Median $954.99 Typical High $1,174.90 | Facility | None | $478.63 | $954.99 | $1,174.90 |
United Setting Professional Modifier None Typical Low $58.88 Median $158.49 Typical High $316.23 | Professional | None | $58.88 | $158.49 | $316.23 |
4 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 $20.42 Median $97.72 Typical High $154.88 | Professional | 52 · Reduced service | $20.42 | $97.72 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $38.90 Typical High $61.66 | Professional | 53 · Discontinued | $8.13 | $38.90 | $61.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $28.84 Typical High $45.71 | Professional | 55 · Aftercare only | $6.17 | $28.84 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $19.50 Typical High $30.90 | Professional | 56 · Pre-op care only | $4.07 | $19.50 | $30.90 |
Where Alaska sits
The same service costs 4.0 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.
Alaska· 1st of 51
$195
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.