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 $281.84 Median $323.59 Typical High $512.86 | Professional | None | $281.84 | $323.59 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
HMSA Setting Professional Modifier None Typical Low $389.05 Median $457.09 Typical High $501.19 | Professional | None | $389.05 | $457.09 | $501.19 |
HMSA Setting Professional Modifier 51 · Multiple procedures Typical Low $194.98 Median $229.09 Typical High $251.19 | Professional | 51 · Multiple procedures | $194.98 | $229.09 | $251.19 |
HMSA Setting Professional Modifier AS · PA/NP assist Typical Low $66.07 Median $77.62 Typical High $85.11 | Professional | AS · PA/NP assist | $66.07 | $77.62 | $85.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $281.84 Median $338.84 Typical High $416.87 | Professional | None | $281.84 | $338.84 | $416.87 |
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 $380.19 Median $380.19 Typical High $407.38 | Professional | None | $380.19 | $380.19 | $407.38 |
University Health Alliance Setting Professional Modifier None Typical Low $380.19 Median $426.58 Typical High $426.58 | Professional | None | $380.19 | $426.58 | $426.58 |
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 $213.80 Median $245.47 Typical High $380.19 | Professional | 54 · Surgery only | $213.80 | $245.47 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $48.98 Typical High $77.62 | Professional | 55 · Aftercare only | $42.66 | $48.98 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $32.36 Typical High $51.29 | Professional | 56 · Pre-op care only | $28.18 | $32.36 | $51.29 |
Where Hawaii sits
The same service costs 4.5 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· 28th of 51
$417
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.