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 $2,570.40 Median $6,025.60 Typical High $6,025.60 | Facility | None | $2,570.40 | $6,025.60 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $794.33 Typical High $1,174.90 | Professional | None | $707.95 | $794.33 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None | $977.24 | $977.24 | $977.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $707.95 Median $851.14 Typical High $1,071.52 | Professional | None | $707.95 | $851.14 | $1,071.52 |
United Setting Facility Modifier None Typical Low $3,019.95 Median $3,548.13 Typical High $5,754.40 | Facility | None | $3,019.95 | $3,548.13 | $5,754.40 |
United Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,000.00 | Professional | None | $977.24 | $977.24 | $1,000.00 |
University Health Alliance Setting Professional Modifier None Typical Low $29.51 Median $954.99 Typical High $1,071.52 | Professional | None | $29.51 | $954.99 | $1,071.52 |
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 $354.81 Median $398.11 Typical High $588.84 | Professional | 52 · Reduced service | $354.81 | $398.11 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $158.49 Typical High $234.42 | Professional | 53 · Discontinued | $141.25 | $158.49 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $588.84 Typical High $891.25 | Professional | 54 · Surgery only | $524.81 | $588.84 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $117.49 Typical High $177.83 | Professional | 55 · Aftercare only | $107.15 | $117.49 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $79.43 Typical High $117.49 | Professional | 56 · Pre-op care only | $70.79 | $79.43 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $549.54 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $489.78 | $549.54 | $831.76 |
Where Hawaii sits
The same service costs 6.2 times more in Alaska than in Texas. 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· 30th of 51
$977
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.