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 $186.21 Median $2,137.96 Typical High $7,943.28 | Facility | None | $186.21 | $2,137.96 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $467.74 Typical High $9,120.11 | Professional | None | $186.21 | $467.74 | $9,120.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $97.72 Typical High $1,819.70 | Professional | 52 · Reduced service | $93.33 | $97.72 | $1,819.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $39.81 Typical High $724.44 | Professional | 53 · Discontinued | $37.15 | $39.81 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $29.51 Typical High $549.54 | Professional | 55 · Aftercare only | $28.18 | $29.51 | $549.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $19.95 Typical High $363.08 | Professional | 56 · Pre-op care only | $18.62 | $19.95 | $363.08 |
CareFirst Setting Professional Modifier None Typical Low $158.49 Median $173.78 Typical High $8,128.31 | Professional | None | $158.49 | $173.78 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $588.84 Typical High $10,471.29 | Professional | None | $169.82 | $588.84 | $10,471.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4,168.69 Median $4,365.16 Typical High $7,413.10 | Professional | None | $4,168.69 | $4,365.16 | $7,413.10 |
United Setting Facility Modifier None Typical Low $2,754.23 Median $5,128.61 Typical High $42,657.95 | Facility | None | $2,754.23 | $5,128.61 | $42,657.95 |
United Setting Professional Modifier None Typical Low $154.88 Median $489.78 Typical High $8,709.64 | Professional | None | $154.88 | $489.78 | $8,709.64 |
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 $141.25 Median $147.91 Typical High $2,754.23 | Professional | 54 · Surgery only | $141.25 | $147.91 | $2,754.23 |
Where Washington, DC sits
The same service costs 15.8 times more in Washington 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
$589
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.