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 $77.62 Median $93.33 Typical High $616.60 | Professional | None | $77.62 | $93.33 | $616.60 |
CareSource Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $128.82 Typical High $4,365.16 | Facility | None | $34.67 | $128.82 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $489.78 Typical High $1,995.26 | Professional | None | $102.33 | $489.78 | $1,995.26 |
United Setting Facility Modifier None Typical Low $151.36 Median $436.52 Typical High $5,888.44 | Facility | None | $151.36 | $436.52 | $5,888.44 |
United Setting Professional Modifier None Typical Low $72.44 Median $426.58 Typical High $1,445.44 | Professional | None | $72.44 | $426.58 | $1,445.44 |
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 $58.88 Median $70.79 Typical High $457.09 | Professional | 54 · Surgery only | $58.88 | $70.79 | $457.09 |
Where West Virginia sits
The same service costs 7.8 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.
West Virginia· 45th of 51
$468
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.