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 $1,949.84 Median $2,238.72 Typical High $3,467.37 | Professional | None | $1,949.84 | $2,238.72 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,691.53 | $2,691.53 | $2,691.53 |
HMSA Setting Professional Modifier None Typical Low $2,691.53 Median $3,162.28 Typical High $3,467.37 | Professional | None | $2,691.53 | $3,162.28 | $3,467.37 |
HMSA Setting Professional Modifier 51 · Multiple procedures Typical Low $1,348.96 Median $1,584.89 Typical High $1,737.80 | Professional | 51 · Multiple procedures | $1,348.96 | $1,584.89 | $1,737.80 |
HMSA Setting Professional Modifier AS · PA/NP assist Typical Low $457.09 Median $537.03 Typical High $588.84 | Professional | AS · PA/NP assist | $457.09 | $537.03 | $588.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,041.74 Median $2,454.71 Typical High $3,019.95 | Professional | None | $2,041.74 | $2,454.71 | $3,019.95 |
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 $2,691.53 Median $2,691.53 Typical High $2,818.38 | Professional | None | $2,691.53 | $2,691.53 | $2,818.38 |
University Health Alliance Setting Professional Modifier None Typical Low $371.54 Median $2,951.21 Typical High $2,951.21 | Professional | None | $371.54 | $2,951.21 | $2,951.21 |
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 $1,479.11 Median $1,659.59 Typical High $2,630.27 | Professional | 54 · Surgery only | $1,479.11 | $1,659.59 | $2,630.27 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,380.38 Median $1,548.82 Typical High $2,454.71 | Professional | 78 · Unplanned return to OR | $1,380.38 | $1,548.82 | $2,454.71 |
Where Hawaii sits
The same service costs 21.9 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· 25th of 51
$2,884
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.