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 $141.25 Median $3,890.45 Typical High $18,620.87 | Facility | None | $141.25 | $3,890.45 | $18,620.87 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $138.04 Typical High $141.25 | Professional | None | $100.00 | $138.04 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $398.11 Typical High $549.54 | Facility | None | $354.81 | $398.11 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $154.88 Typical High $199.53 | Professional | None | $114.82 | $154.88 | $199.53 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $208.93 Typical High $2,398.83 | Facility | None | $125.89 | $208.93 | $2,398.83 |
Medica Setting Professional Modifier None Typical Low $131.83 Median $676.08 Typical High $954.99 | Professional | None | $131.83 | $676.08 | $954.99 |
United Setting Facility Modifier None Typical Low $269.15 Median $1,148.15 Typical High $2,454.71 | Facility | None | $269.15 | $1,148.15 | $2,454.71 |
United Setting Professional Modifier None Typical Low $91.20 Median $128.82 Typical High $190.55 | Professional | None | $91.20 | $128.82 | $190.55 |
5 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 $50.12 Median $51.29 Typical High $70.79 | Professional | 52 · Reduced service | $50.12 | $51.29 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $28.18 | Professional | 53 · Discontinued | $20.42 | $20.42 | $28.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $75.86 Median $77.62 Typical High $107.15 | Professional | 54 · Surgery only | $75.86 | $77.62 | $107.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $15.49 Typical High $21.38 | Professional | 55 · Aftercare only | $15.14 | $15.49 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $10.23 Typical High $14.13 | Professional | 56 · Pre-op care only | $10.00 | $10.23 | $14.13 |
Where Oklahoma sits
The same service costs 3.5 times more in Alaska than in Indiana. 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· 18th of 51
$195
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.