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 $1,412.54 Median $1,412.54 Typical High $1,737.80 | Facility | None | $1,412.54 | $1,412.54 | $1,737.80 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $177.83 Typical High $1,548.82 | Professional | None | $154.88 | $177.83 | $1,548.82 |
CareSource Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $239.88 Typical High $8,511.38 | Facility | None | $34.67 | $239.88 | $8,511.38 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $1,174.90 Typical High $5,011.87 | Professional | None | $190.55 | $1,174.90 | $5,011.87 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $2,089.30 Typical High $19,498.45 | Facility | None | $1,479.11 | $2,089.30 | $19,498.45 |
United Setting Professional Modifier None Typical Low $151.36 Median $1,096.48 Typical High $4,786.30 | Professional | None | $151.36 | $1,096.48 | $4,786.30 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $134.90 Typical High $1,148.15 | Professional | 54 · Surgery only | $114.82 | $134.90 | $1,148.15 |
Where West Virginia sits
The same service costs 10.0 times more in Alaska than in Nebraska. 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.
West Virginia· 46th of 51
$1,230
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.