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 $218.78 Median $218.78 Typical High $302.00 | Facility | None | $218.78 | $218.78 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $114.82 Typical High $302.00 | Professional | None | $44.67 | $114.82 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $100.00 Typical High $309.03 | Facility | None | $60.26 | $100.00 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $97.72 Typical High $199.53 | Professional | None | $45.71 | $97.72 | $199.53 |
Moda Health Setting Facility Modifier None Typical Low $67.61 Median $218.78 Typical High $436.52 | Facility | None | $67.61 | $218.78 | $436.52 |
Moda Health Setting Professional Modifier None Typical Low $58.88 Median $173.78 Typical High $302.00 | Professional | None | $58.88 | $173.78 | $302.00 |
Premera BCBS Setting Facility Modifier None Typical Low $70.79 Median $93.33 Typical High $138.04 | Facility | None | $70.79 | $93.33 | $138.04 |
Premera BCBS Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $269.15 | Professional | None | $181.97 | $181.97 | $269.15 |
Providence Setting Facility Modifier None Typical Low $83.18 Median $181.97 Typical High $338.84 | Facility | None | $83.18 | $181.97 | $338.84 |
Providence Setting Professional Modifier None Typical Low $58.88 Median $91.20 Typical High $151.36 | Professional | None | $58.88 | $91.20 | $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 $21.88 Median $109.65 Typical High $151.36 | Professional | 52 · Reduced service | $21.88 | $109.65 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $44.67 Typical High $61.66 | Professional | 53 · Discontinued | $8.71 | $44.67 | $61.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.61 Median $33.11 Typical High $45.71 | Professional | 55 · Aftercare only | $6.61 | $33.11 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.37 Median $21.88 Typical High $30.90 | Professional | 56 · Pre-op care only | $4.37 | $21.88 | $30.90 |
Where Alaska sits
The same service costs 3.5 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
$182
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.