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 $1,230.27 Median $1,230.27 Typical High $1,412.54 | Facility | None | $1,230.27 | $1,230.27 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $38.90 Typical High $162.18 | Professional | None | $30.20 | $38.90 | $162.18 |
CareSource Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $46.77 | Facility | None | $34.67 | $34.67 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $154.88 Typical High $831.76 | Professional | None | $42.66 | $154.88 | $831.76 |
United Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $660.69 | Facility | None | $457.09 | $457.09 | $660.69 |
United Setting Professional Modifier None Typical Low $28.84 Median $89.13 Typical High $346.74 | Professional | None | $28.84 | $89.13 | $346.74 |
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 $22.39 Median $23.44 Typical High $95.50 | Professional | 54 · Surgery only | $22.39 | $23.44 | $95.50 |
Where West Virginia sits
The same service costs 4.7 times more in Wisconsin than in Maryland. 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.
West Virginia· 43rd of 51
$110
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.