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 $1,479.11 Median $1,659.59 Typical High $2,570.40 | Professional | None | $1,479.11 | $1,659.59 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,995.26 | $1,995.26 | $1,995.26 |
HMSA Setting Professional Modifier None Typical Low $1,995.26 Median $2,344.23 Typical High $2,570.40 | Professional | None | $1,995.26 | $2,344.23 | $2,570.40 |
HMSA Setting Professional Modifier 51 · Multiple procedures Typical Low $1,000.00 Median $1,174.90 Typical High $1,288.25 | Professional | 51 · Multiple procedures | $1,000.00 | $1,174.90 | $1,288.25 |
HMSA Setting Professional Modifier AS · PA/NP assist Typical Low $338.84 Median $398.11 Typical High $436.52 | Professional | AS · PA/NP assist | $338.84 | $398.11 | $436.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,513.56 Median $1,819.70 Typical High $2,238.72 | Professional | None | $1,513.56 | $1,819.70 | $2,238.72 |
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 $1,995.26 Median $1,995.26 Typical High $2,089.30 | Professional | None | $1,995.26 | $1,995.26 | $2,089.30 |
University Health Alliance Setting Professional Modifier None Typical Low $1,995.26 Median $2,187.76 Typical High $2,187.76 | Professional | None | $1,995.26 | $2,187.76 | $2,187.76 |
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 $1,096.48 Median $1,230.27 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,096.48 | $1,230.27 | $1,949.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,023.29 Median $1,148.15 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,023.29 | $1,148.15 | $1,819.70 |
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· 25th of 51
$2,138
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.