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 $1,202.26 Median $1,380.38 Typical High $2,089.30 | Professional | None | $1,202.26 | $1,380.38 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,659.59 | $1,659.59 | $1,659.59 |
HMSA Setting Professional Modifier None Typical Low $1,659.59 Median $1,949.84 Typical High $2,137.96 | Professional | None | $1,659.59 | $1,949.84 | $2,137.96 |
HMSA Setting Professional Modifier 51 · Multiple procedures Typical Low $831.76 Median $977.24 Typical High $1,071.52 | Professional | 51 · Multiple procedures | $831.76 | $977.24 | $1,071.52 |
HMSA Setting Professional Modifier AS · PA/NP assist Typical Low $281.84 Median $331.13 Typical High $363.08 | Professional | AS · PA/NP assist | $281.84 | $331.13 | $363.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,258.93 Median $1,513.56 Typical High $1,905.46 | Professional | None | $1,258.93 | $1,513.56 | $1,905.46 |
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 $1,659.59 Median $1,659.59 Typical High $1,698.24 | Professional | None | $1,659.59 | $1,659.59 | $1,698.24 |
University Health Alliance Setting Professional Modifier None Typical Low $29.51 Median $1,202.26 Typical High $1,819.70 | Professional | None | $29.51 | $1,202.26 | $1,819.70 |
6 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 $602.56 Median $676.08 Typical High $1,047.13 | Professional | 52 · Reduced service | $602.56 | $676.08 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $275.42 Typical High $416.87 | Professional | 53 · Discontinued | $239.88 | $275.42 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $1,023.29 Typical High $1,584.89 | Professional | 54 · Surgery only | $912.01 | $1,023.29 | $1,584.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $204.17 Typical High $316.23 | Professional | 55 · Aftercare only | $181.97 | $204.17 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $138.04 Typical High $208.93 | Professional | 56 · Pre-op care only | $120.23 | $138.04 | $208.93 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $954.99 Typical High $1,479.11 | Professional | 78 · Unplanned return to OR | $851.14 | $954.99 | $1,479.11 |
Where Hawaii sits
The same service costs 20.9 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· 27th of 51
$1,660
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.