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 $2,511.89 Median $2,818.38 Typical High $4,365.16 | Professional | None | $2,511.89 | $2,818.38 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Professional | None | $3,388.44 | $3,388.44 | $3,388.44 |
HMSA Setting Professional Modifier None Typical Low $3,388.44 Median $3,981.07 Typical High $4,365.16 | Professional | None | $3,388.44 | $3,981.07 | $4,365.16 |
HMSA Setting Professional Modifier 51 · Multiple procedures Typical Low $1,698.24 Median $1,995.26 Typical High $2,187.76 | Professional | 51 · Multiple procedures | $1,698.24 | $1,995.26 | $2,187.76 |
HMSA Setting Professional Modifier AS · PA/NP assist Typical Low $575.44 Median $676.08 Typical High $741.31 | Professional | AS · PA/NP assist | $575.44 | $676.08 | $741.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,511.89 Median $3,019.95 Typical High $3,715.35 | Professional | None | $2,511.89 | $3,019.95 | $3,715.35 |
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 $3,388.44 Median $3,388.44 Typical High $3,467.37 | Professional | None | $3,388.44 | $3,388.44 | $3,467.37 |
University Health Alliance Setting Professional Modifier None Typical Low $3,311.31 Median $3,715.35 Typical High $3,715.35 | Professional | None | $3,311.31 | $3,715.35 | $3,715.35 |
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 $1,862.09 Median $2,089.30 Typical High $3,311.31 | Professional | 54 · Surgery only | $1,862.09 | $2,089.30 | $3,311.31 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,737.80 Median $1,949.84 Typical High $3,090.30 | Professional | 78 · Unplanned return to OR | $1,737.80 | $1,949.84 | $3,090.30 |
Where Hawaii sits
The same service costs 20.0 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· 23rd of 51
$3,631
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.