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 $70.79 Median $81.28 Typical High $128.82 | Professional | None | $70.79 | $81.28 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None | $95.50 | $95.50 | $95.50 |
HMSA Setting Professional Modifier None Typical Low $112.20 Median $131.83 Typical High $144.54 | Professional | None | $112.20 | $131.83 | $144.54 |
HMSA Setting Professional Modifier AS · PA/NP assist Typical Low $19.05 Median $22.39 Typical High $24.55 | Professional | AS · PA/NP assist | $19.05 | $22.39 | $24.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $69.18 Median $83.18 Typical High $104.71 | Professional | None | $69.18 | $83.18 | $104.71 |
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 $95.50 Median $95.50 Typical High $102.33 | Professional | None | $95.50 | $95.50 | $102.33 |
University Health Alliance Setting Professional Modifier None Typical Low $95.50 Median $107.15 Typical High $107.15 | Professional | None | $95.50 | $107.15 | $107.15 |
1 more rate 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 $53.70 Median $60.26 Typical High $97.72 | Professional | 54 · Surgery only | $53.70 | $60.26 | $97.72 |
Where Hawaii sits
The same service costs 4.4 times more in Alaska than in Florida. 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
$107
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.