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 $1,000.00 Median $2,884.03 Typical High $2,884.03 | Facility | None | $1,000.00 | $2,884.03 | $2,884.03 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $812.83 Typical High $2,884.03 | Professional | None | $346.74 | $812.83 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Facility | None | $2,818.38 | $2,818.38 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $1,202.26 Typical High $1,202.26 | Professional | None | $977.24 | $1,202.26 | $1,202.26 |
HMSA Setting Professional Modifier None Typical Low $676.08 Median $3,890.45 Typical High $4,168.69 | Professional | None | $676.08 | $3,890.45 | $4,168.69 |
HMSA Setting Professional Modifier 51 · Multiple procedures Typical Low $338.84 Median $1,949.84 Typical High $2,089.30 | Professional | 51 · Multiple procedures | $338.84 | $1,949.84 | $2,089.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $426.58 Median $1,023.29 Typical High $1,230.27 | Professional | None | $426.58 | $1,023.29 | $1,230.27 |
United Setting Facility Modifier None Typical Low $2,041.74 Median $2,511.89 Typical High $2,570.40 | Facility | None | $2,041.74 | $2,511.89 | $2,570.40 |
United Setting Professional Modifier None Typical Low $501.19 Median $1,202.26 Typical High $1,202.26 | Professional | None | $501.19 | $1,202.26 | $1,202.26 |
University Health Alliance Setting Professional Modifier None Typical Low $173.78 Median $537.03 Typical High $1,258.93 | Professional | None | $173.78 | $537.03 | $1,258.93 |
2 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 54 · Surgery only Typical Low $263.03 Median $616.60 Typical High $2,041.74 | Professional | 54 · Surgery only | $263.03 | $616.60 | $2,041.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $245.47 Median $575.44 Typical High $1,905.46 | Professional | 78 · Unplanned return to OR | $245.47 | $575.44 | $1,905.46 |
Where Hawaii sits
The same service costs 4.5 times more in North Carolina than in Washington, DC. 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.
Hawaii· 11th of 51
$1,202
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.