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 $758.58 Median $2,570.40 Typical High $7,585.78 | Facility | None | $758.58 | $2,570.40 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $524.81 Typical High $588.84 | Professional | None | $478.63 | $524.81 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $3,311.31 Typical High $4,073.80 | Facility | None | $1,202.26 | $3,311.31 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $562.34 Typical High $660.69 | Professional | None | $501.19 | $562.34 | $660.69 |
Medica Setting Facility Modifier None Typical Low $575.44 Median $1,047.13 Typical High $6,025.60 | Facility | None | $575.44 | $1,047.13 | $6,025.60 |
Medica Setting Professional Modifier None Typical Low $446.68 Median $575.44 Typical High $4,466.84 | Professional | None | $446.68 | $575.44 | $4,466.84 |
United Setting Facility Modifier None Typical Low $933.25 Median $2,951.21 Typical High $6,309.57 | Facility | None | $933.25 | $2,951.21 | $6,309.57 |
United Setting Professional Modifier None Typical Low $398.11 Median $501.19 Typical High $741.31 | Professional | None | $398.11 | $501.19 | $741.31 |
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 $354.81 Median $389.05 Typical High $398.11 | Professional | 54 · Surgery only | $354.81 | $389.05 | $398.11 |
Where Oklahoma sits
The same service costs 4.6 times more in Alaska than in Utah. 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· 31st of 51
$562
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.