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 $112.20 Median $114.82 Typical High $165.96 | Facility | None | $112.20 | $114.82 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $114.82 Typical High $165.96 | Professional | None | $112.20 | $114.82 | $165.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $57.54 Typical High $81.28 | Professional | 52 · Reduced service | $56.23 | $57.54 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.91 Typical High $33.11 | Professional | 53 · Discontinued | $22.39 | $22.91 | $33.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $17.38 Typical High $24.55 | Professional | 55 · Aftercare only | $16.60 | $17.38 | $24.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $11.48 Typical High $16.60 | Professional | 56 · Pre-op care only | $11.22 | $11.48 | $16.60 |
BCBS Setting Facility Modifier None Typical Low $102.33 Median $131.83 Typical High $295.12 | Facility | None | $102.33 | $131.83 | $295.12 |
BCBS Setting Professional Modifier None Typical Low $21.38 Median $169.82 Typical High $229.09 | Professional | None | $21.38 | $169.82 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $120.23 Typical High $204.17 | Professional | None | $74.13 | $120.23 | $204.17 |
Health Alliance Plan Setting Facility Modifier None Typical Low $102.33 Median $114.82 Typical High $363.08 | Facility | None | $102.33 | $114.82 | $363.08 |
Health Alliance Plan Setting Professional Modifier None Typical Low $114.82 Median $154.88 Typical High $169.82 | Professional | None | $114.82 | $154.88 | $169.82 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $57.54 Typical High $81.28 | Professional | 52 · Reduced service | $54.95 | $57.54 | $81.28 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $22.91 Typical High $32.36 | Professional | 53 · Discontinued | $21.88 | $22.91 | $32.36 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $17.38 Typical High $24.55 | Professional | 55 · Aftercare only | $16.60 | $17.38 | $24.55 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $11.48 Typical High $16.22 | Professional | 56 · Pre-op care only | $10.96 | $11.48 | $16.22 |
Priority Health Setting Professional Modifier None Typical Low $72.44 Median $109.65 Typical High $169.82 | Professional | None | $72.44 | $109.65 | $169.82 |
United Setting Facility Modifier None Typical Low $91.20 Median $177.83 Typical High $1,202.26 | Facility | None | $91.20 | $177.83 | $1,202.26 |
United Setting Professional Modifier None Typical Low $100.00 Median $123.03 Typical High $151.36 | Professional | None | $100.00 | $123.03 | $151.36 |
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 |
|---|---|---|---|---|---|
BCBS Setting Professional Modifier 50 · Both sides Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 50 · Both sides | $346.74 | $346.74 | $346.74 |
Where Michigan sits
The same service costs 3.6 times more in Alaska than in Maryland. 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.
Michigan· 26th of 51
$135
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.