How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $758.58 Median $2,570.40 Typical High $7,585.78 | Facility | None | $758.58 | $2,570.40 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $1,905.46 Typical High $5,754.40 | Facility | None | $1,412.54 | $1,905.46 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $741.31 Typical High $831.76 | Professional | None | $616.60 | $741.31 | $831.76 |
Medica Setting Facility Modifier None Typical Low $794.33 Median $1,698.24 Typical High $8,128.31 | Facility | None | $794.33 | $1,698.24 | $8,128.31 |
Medica Setting Professional Modifier None Typical Low $257.04 Median $446.68 Typical High $4,466.84 | Professional | None | $257.04 | $446.68 | $4,466.84 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $4,265.80 Typical High $9,120.11 | Facility | None | $1,230.27 | $4,265.80 | $9,120.11 |
United Setting Professional Modifier None Typical Low $239.88 Median $316.23 Typical High $478.63 | Professional | None | $239.88 | $316.23 | $478.63 |
5 more rates 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 52 · Reduced service Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | 52 · Reduced service | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 53 · Discontinued | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $407.38 Typical High $407.38 | Professional | 54 · Surgery only | $398.11 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $81.28 Typical High $81.28 | Professional | 55 · Aftercare only | $79.43 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 56 · Pre-op care only | $53.70 | $53.70 | $53.70 |
Where Oklahoma sits
The same service costs 10.0 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.
Oklahoma· 21st of 51
$741
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.