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 $2,818.38 Median $2,818.38 Typical High $2,818.38 | Facility | None | $2,818.38 | $2,818.38 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $812.83 Typical High $1,258.93 | Professional | None | $724.44 | $812.83 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None | $1,000.00 | $1,000.00 | $1,000.00 |
HMSA Setting Professional Modifier None Typical Low $1,148.15 Median $1,348.96 Typical High $1,479.11 | Professional | None | $1,148.15 | $1,348.96 | $1,479.11 |
HMSA Setting Professional Modifier 51 · Multiple procedures Typical Low $575.44 Median $676.08 Typical High $741.31 | Professional | 51 · Multiple procedures | $575.44 | $676.08 | $741.31 |
HMSA Setting Professional Modifier AS · PA/NP assist Typical Low $194.98 Median $229.09 Typical High $251.19 | Professional | AS · PA/NP assist | $194.98 | $229.09 | $251.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $776.25 Median $933.25 Typical High $1,174.90 | Professional | None | $776.25 | $933.25 | $1,174.90 |
United Setting Facility Modifier None Typical Low $1,148.15 Median $1,202.26 Typical High $2,511.89 | Facility | None | $1,148.15 | $1,202.26 | $2,511.89 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,023.29 | Professional | None | $1,000.00 | $1,000.00 | $1,023.29 |
University Health Alliance Setting Professional Modifier None Typical Low $977.24 Median $1,071.52 Typical High $1,071.52 | Professional | None | $977.24 | $1,071.52 | $1,071.52 |
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 $549.54 Median $616.60 Typical High $954.99 | Professional | 54 · Surgery only | $549.54 | $616.60 | $954.99 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $575.44 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $512.86 | $575.44 | $891.25 |
Where Hawaii sits
The same service costs 5.0 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.
Hawaii· 25th of 51
$1,072
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.