How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $1,348.96 Median $5,011.87 Typical High $14,125.38 | Facility | None | $1,348.96 | $5,011.87 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $436.52 Typical High $512.86 | Professional | None | $398.11 | $436.52 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $5,011.87 Typical High $6,165.95 | Facility | None | $1,659.59 | $5,011.87 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $489.78 Typical High $602.56 | Professional | None | $426.58 | $489.78 | $602.56 |
Medica Setting Facility Modifier None Typical Low $616.60 Median $1,698.24 Typical High $12,589.25 | Facility | None | $616.60 | $1,698.24 | $12,589.25 |
Medica Setting Professional Modifier None Typical Low $380.19 Median $537.03 Typical High $3,311.31 | Professional | None | $380.19 | $537.03 | $3,311.31 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $4,073.80 Typical High $9,120.11 | Facility | None | $1,230.27 | $4,073.80 | $9,120.11 |
United Setting Professional Modifier None Typical Low $338.84 Median $426.58 Typical High $630.96 | Professional | None | $338.84 | $426.58 | $630.96 |
5 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 52 · Reduced service Typical Low $199.53 Median $218.78 Typical High $223.87 | Professional | 52 · Reduced service | $199.53 | $218.78 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $87.10 Typical High $89.13 | Professional | 53 · Discontinued | $79.43 | $87.10 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $331.13 Typical High $331.13 | Professional | 54 · Surgery only | $302.00 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $66.07 Typical High $66.07 | Professional | 55 · Aftercare only | $60.26 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $43.65 Typical High $44.67 | Professional | 56 · Pre-op care only | $39.81 | $43.65 | $44.67 |
Where Oklahoma sits
The same service costs 4.5 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.
Oklahoma· 32nd of 51
$490
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.