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 $575.44 Median $2,818.38 Typical High $4,265.80 | Facility | None | $575.44 | $2,818.38 | $4,265.80 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $660.69 Typical High $3,019.95 | Professional | None | $263.03 | $660.69 | $3,019.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $165.96 Typical High $660.69 | Professional | 52 · Reduced service | $131.83 | $165.96 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $66.07 Typical High $263.03 | Professional | 53 · Discontinued | $52.48 | $66.07 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $50.12 Typical High $194.98 | Professional | 55 · Aftercare only | $39.81 | $50.12 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $33.11 Typical High $131.83 | Professional | 56 · Pre-op care only | $26.30 | $33.11 | $131.83 |
CareFirst Setting Professional Modifier None Typical Low $223.87 Median $239.88 Typical High $281.84 | Professional | None | $223.87 | $239.88 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $891.25 Typical High $3,467.37 | Professional | None | $257.04 | $891.25 | $3,467.37 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,174.90 Median $1,258.93 Typical High $2,630.27 | Professional | None | $1,174.90 | $1,258.93 | $2,630.27 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $5,754.40 Typical High $27,542.29 | Facility | None | $1,288.25 | $5,754.40 | $27,542.29 |
United Setting Professional Modifier None Typical Low $234.42 Median $707.95 Typical High $3,019.95 | Professional | None | $234.42 | $707.95 | $3,019.95 |
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 $199.53 Median $245.47 Typical High $977.24 | Professional | 54 · Surgery only | $199.53 | $245.47 | $977.24 |
Where Washington, DC sits
The same service costs 4.5 times more in Alaska than in Nebraska. 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.
Washington, DC· 49th of 51
$661
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.