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 $60.26 Median $154.88 Typical High $7,413.10 | Facility | None | $60.26 | $154.88 | $7,413.10 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $141.25 Typical High $169.82 | Professional | None | $60.26 | $141.25 | $169.82 |
BCBS Setting Professional Modifier None Typical Low $120.23 Median $295.12 Typical High $1,071.52 | Professional | None | $120.23 | $295.12 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $154.88 Typical High $331.13 | Professional | None | $72.44 | $154.88 | $331.13 |
Medcost Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Medcost Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $165.96 | Facility | None | $60.26 | $60.26 | $165.96 |
Medcost Setting Professional Modifier None Typical Low $147.91 Median $208.93 Typical High $645.65 | Professional | None | $147.91 | $208.93 | $645.65 |
Oscar Health Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None | $489.78 | $489.78 | $489.78 |
United Setting Facility Modifier None Typical Low $512.86 Median $891.25 Typical High $2,089.30 | Facility | None | $512.86 | $891.25 | $2,089.30 |
United Setting Professional Modifier None Typical Low $64.57 Median $147.91 Typical High $331.13 | Professional | None | $64.57 | $147.91 | $331.13 |
6 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 $30.20 Median $57.54 Typical High $77.62 | Professional | 52 · Reduced service | $30.20 | $57.54 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $23.44 Typical High $30.90 | Professional | 53 · Discontinued | $12.02 | $23.44 | $30.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $45.71 Median $87.10 Typical High $117.49 | Professional | 54 · Surgery only | $45.71 | $87.10 | $117.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $17.38 Typical High $23.44 | Professional | 55 · Aftercare only | $9.12 | $17.38 | $23.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $11.75 Typical High $15.49 | Professional | 56 · Pre-op care only | $6.03 | $11.75 | $15.49 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $74.13 Median $177.83 Typical High $323.59 | Professional | 51 · Multiple procedures | $74.13 | $177.83 | $323.59 |
Where North Carolina sits
The same service costs 3.7 times more in Wisconsin than in Maryland. 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.
North Carolina· 3rd of 51
$263
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.