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 $512.86 Median $512.86 Typical High $676.08 | Facility | None | $512.86 | $512.86 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $512.86 Typical High $676.08 | Professional | None | $107.15 | $512.86 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $245.47 Typical High $758.58 | Facility | None | $147.91 | $245.47 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $208.93 Typical High $446.68 | Professional | None | $109.65 | $208.93 | $446.68 |
Moda Health Setting Facility Modifier None Typical Low $162.18 Median $512.86 Typical High $954.99 | Facility | None | $162.18 | $512.86 | $954.99 |
Moda Health Setting Professional Modifier None Typical Low $128.82 Median $478.63 Typical High $724.44 | Professional | None | $128.82 | $478.63 | $724.44 |
Premera BCBS Setting Facility Modifier None Typical Low $162.18 Median $218.78 Typical High $331.13 | Facility | None | $162.18 | $218.78 | $331.13 |
Premera BCBS Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $588.84 | Professional | None | $436.52 | $436.52 | $588.84 |
Providence Setting Facility Modifier None Typical Low $204.17 Median $446.68 Typical High $776.25 | Facility | None | $204.17 | $446.68 | $776.25 |
Providence Setting Professional Modifier None Typical Low $102.33 Median $218.78 Typical High $354.81 | Professional | None | $102.33 | $218.78 | $354.81 |
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 $138.04 Median $354.81 Typical High $724.44 | Professional | None | $138.04 | $354.81 | $724.44 |
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 $52.48 Median $257.04 Typical High $338.84 | Professional | 52 · Reduced service | $52.48 | $257.04 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $102.33 Typical High $134.90 | Professional | 53 · Discontinued | $21.38 | $102.33 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $77.62 Typical High $102.33 | Professional | 55 · Aftercare only | $15.85 | $77.62 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $51.29 Typical High $67.61 | Professional | 56 · Pre-op care only | $10.72 | $51.29 | $67.61 |
Where Alaska sits
The same service costs 4.0 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.
Alaska· 1st of 51
$437
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.