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 $1,288.25 Median $1,479.11 Typical High $2,238.72 | Professional | None | $1,288.25 | $1,479.11 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,698.24 | $1,698.24 | $1,698.24 |
HMSA Setting Professional Modifier None Typical Low $2,089.30 Median $2,454.71 Typical High $2,691.53 | Professional | None | $2,089.30 | $2,454.71 | $2,691.53 |
HMSA Setting Professional Modifier 51 · Multiple procedures Typical Low $1,047.13 Median $1,230.27 Typical High $1,348.96 | Professional | 51 · Multiple procedures | $1,047.13 | $1,230.27 | $1,348.96 |
HMSA Setting Professional Modifier AS · PA/NP assist Typical Low $354.81 Median $416.87 Typical High $457.09 | Professional | AS · PA/NP assist | $354.81 | $416.87 | $457.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,318.26 Median $1,584.89 Typical High $1,995.26 | Professional | None | $1,318.26 | $1,584.89 | $1,995.26 |
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 $1,698.24 Median $1,698.24 Typical High $1,778.28 | Professional | None | $1,698.24 | $1,698.24 | $1,778.28 |
University Health Alliance Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None | $234.42 | $234.42 | $234.42 |
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 $954.99 Median $1,122.02 Typical High $1,698.24 | Professional | 54 · Surgery only | $954.99 | $1,122.02 | $1,698.24 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $1,047.13 Typical High $1,584.89 | Professional | 78 · Unplanned return to OR | $891.25 | $1,047.13 | $1,584.89 |
Where Hawaii sits
The same service costs 21.4 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· 19th of 51
$2,089
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.