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 $851.14 Median $1,096.48 Typical High $1,548.82 | Professional | None | $851.14 | $1,096.48 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $1,621.81 Typical High $2,884.03 | Professional | None | $524.81 | $1,621.81 | $2,884.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
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 $1,445.44 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,445.44 | $1,819.70 | $1,819.70 |
3 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 $645.65 Median $812.83 Typical High $1,174.90 | Professional | 54 · Surgery only | $645.65 | $812.83 | $1,174.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $162.18 Typical High $234.42 | Professional | 55 · Aftercare only | $128.82 | $162.18 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $109.65 Typical High $154.88 | Professional | 56 · Pre-op care only | $85.11 | $109.65 | $154.88 |
Where Hawaii sits
The same service costs 5.6 times more in Alaska than in New York. 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· 14th of 51
$1,820
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.