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 $30.20 Median $30.20 Typical High $43.65 | Facility | None | $30.20 | $30.20 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $43.65 | Professional | None | $30.20 | $30.20 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $29.51 Typical High $100.00 | Facility | None | $24.55 | $29.51 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $48.98 Typical High $56.23 | Professional | None | $33.88 | $48.98 | $56.23 |
Medica Setting Facility Modifier None Typical Low $41.69 Median $61.66 Typical High $1,174.90 | Facility | None | $41.69 | $61.66 | $1,174.90 |
Medica Setting Professional Modifier None Typical Low $39.81 Median $213.80 Typical High $331.13 | Professional | None | $39.81 | $213.80 | $331.13 |
United Setting Facility Modifier None Typical Low $85.11 Median $575.44 Typical High $1,380.38 | Facility | None | $85.11 | $575.44 | $1,380.38 |
United Setting Professional Modifier None Typical Low $25.70 Median $38.02 Typical High $57.54 | Professional | None | $25.70 | $38.02 | $57.54 |
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 $14.79 Median $14.79 Typical High $21.88 | Professional | 52 · Reduced service | $14.79 | $14.79 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $8.71 | Professional | 53 · Discontinued | $6.03 | $6.03 | $8.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.47 Median $4.47 Typical High $6.61 | Professional | 55 · Aftercare only | $4.47 | $4.47 | $6.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.02 Median $3.02 Typical High $4.37 | Professional | 56 · Pre-op care only | $3.02 | $3.02 | $4.37 |
Where Oklahoma sits
The same service costs 3.3 times more in Alaska than in Virginia. 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· 19th of 51
$52.48
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.