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 Professional Modifier None Typical Low $2,089.30 Median $2,238.72 Typical High $3,467.37 | Professional | None | $2,089.30 | $2,238.72 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | None | $3,019.95 | $3,019.95 | $3,019.95 |
HMSA Setting Professional Modifier None Typical Low $100.00 Median $2,818.38 Typical High $3,090.30 | Professional | None | $100.00 | $2,818.38 | $3,090.30 |
HMSA Setting Professional Modifier 51 · Multiple procedures Typical Low $39.81 Median $1,258.93 Typical High $1,548.82 | Professional | 51 · Multiple procedures | $39.81 | $1,258.93 | $1,548.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,454.71 Median $2,691.53 Typical High $3,388.44 | Professional | None | $2,454.71 | $2,691.53 | $3,388.44 |
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 $3,019.95 Median $3,019.95 Typical High $3,467.37 | Professional | None | $3,019.95 | $3,019.95 | $3,467.37 |
University Health Alliance Setting Professional Modifier None Typical Low $29.51 Median $2,187.76 Typical High $3,019.95 | Professional | None | $29.51 | $2,187.76 | $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 |
|---|---|---|---|---|---|
HMSA Setting Professional Modifier 47 · Anesthesia by surgeon Typical Low $79.43 Median $83.18 Typical High $83.18 | Professional | 47 · Anesthesia by surgeon | $79.43 | $83.18 | $83.18 |
Where Hawaii sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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· 22nd of 51
$2,818
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.