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 $1,148.15 Median $1,318.26 Typical High $2,041.74 | Professional | None | $1,148.15 | $1,318.26 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,584.89 | $1,584.89 | $1,584.89 |
HMSA Setting Professional Modifier None Typical Low $1,584.89 Median $1,862.09 Typical High $2,041.74 | Professional | None | $1,584.89 | $1,862.09 | $2,041.74 |
HMSA Setting Professional Modifier 51 · Multiple procedures Typical Low $794.33 Median $933.25 Typical High $1,023.29 | Professional | 51 · Multiple procedures | $794.33 | $933.25 | $1,023.29 |
HMSA Setting Professional Modifier AS · PA/NP assist Typical Low $269.15 Median $316.23 Typical High $346.74 | Professional | AS · PA/NP assist | $269.15 | $316.23 | $346.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,202.26 Median $1,445.44 Typical High $1,819.70 | Professional | None | $1,202.26 | $1,445.44 | $1,819.70 |
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 $1,584.89 Median $1,584.89 Typical High $1,659.59 | Professional | None | $1,584.89 | $1,584.89 | $1,659.59 |
University Health Alliance Setting Professional Modifier None Typical Low $29.51 Median $1,148.15 Typical High $1,737.80 | Professional | None | $29.51 | $1,148.15 | $1,737.80 |
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 $575.44 Median $645.65 Typical High $1,023.29 | Professional | 52 · Reduced service | $575.44 | $645.65 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $263.03 Typical High $407.38 | Professional | 53 · Discontinued | $229.09 | $263.03 | $407.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $977.24 Typical High $1,513.56 | Professional | 54 · Surgery only | $870.96 | $977.24 | $1,513.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $194.98 Typical High $302.00 | Professional | 55 · Aftercare only | $173.78 | $194.98 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $131.83 Typical High $204.17 | Professional | 56 · Pre-op care only | $114.82 | $131.83 | $204.17 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $912.01 Typical High $1,412.54 | Professional | 78 · Unplanned return to OR | $812.83 | $912.01 | $1,412.54 |
Where Hawaii sits
The same service costs 21.4 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
$1,585
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.