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 $102.33 Median $114.82 Typical High $181.97 | Professional | None | $102.33 | $114.82 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None | $131.83 | $131.83 | $131.83 |
HMSA Setting Professional Modifier None Typical Low $186.21 Median $218.78 Typical High $239.88 | Professional | None | $186.21 | $218.78 | $239.88 |
HMSA Setting Professional Modifier AS · PA/NP assist Typical Low $31.62 Median $37.15 Typical High $40.74 | Professional | AS · PA/NP assist | $31.62 | $37.15 | $40.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $97.72 Median $117.49 Typical High $147.91 | Professional | None | $97.72 | $117.49 | $147.91 |
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 $131.83 Median $131.83 Typical High $141.25 | Professional | None | $131.83 | $131.83 | $141.25 |
University Health Alliance Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
1 more rate 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 $77.62 Median $87.10 Typical High $134.90 | Professional | 54 · Surgery only | $77.62 | $87.10 | $134.90 |
Where Hawaii sits
The same service costs 4.8 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· 15th of 51
$186
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.