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 $54.95 Median $1,047.13 Typical High $7,762.47 | Facility | None | $54.95 | $1,047.13 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $77.62 Typical High $123.03 | Professional | None | $66.07 | $77.62 | $123.03 |
BCBS Setting Facility Modifier None Typical Low $64.57 Median $1,348.96 Typical High $70,794.58 | Facility | None | $64.57 | $1,348.96 | $70,794.58 |
BCBS Setting Professional Modifier None Typical Low $67.61 Median $102.33 Typical High $141.25 | Professional | None | $67.61 | $102.33 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $81.28 Typical High $1,202.26 | Facility | None | $58.88 | $81.28 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $123.03 Typical High $213.80 | Professional | None | $74.13 | $123.03 | $213.80 |
Molina Setting Professional Modifier None Typical Low $16.60 Median $83.18 Typical High $141.25 | Professional | None | $16.60 | $83.18 | $141.25 |
Providence Setting Facility Modifier None Typical Low $61.66 Median $154.88 Typical High $1,288.25 | Facility | None | $61.66 | $154.88 | $1,288.25 |
Providence Setting Professional Modifier None Typical Low $74.13 Median $123.03 Typical High $213.80 | Professional | None | $74.13 | $123.03 | $213.80 |
United Setting Facility Modifier None Typical Low $346.74 Median $707.95 Typical High $2,630.27 | Facility | None | $346.74 | $707.95 | $2,630.27 |
United Setting Professional Modifier None Typical Low $66.07 Median $114.82 Typical High $213.80 | Professional | None | $66.07 | $114.82 | $213.80 |
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 $27.54 Median $38.02 Typical High $58.88 | Professional | 52 · Reduced service | $27.54 | $38.02 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $15.14 Typical High $23.44 | Professional | 53 · Discontinued | $10.96 | $15.14 | $23.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $40.74 Median $57.54 Typical High $87.10 | Professional | 54 · Surgery only | $40.74 | $57.54 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $11.48 Typical High $17.78 | Professional | 55 · Aftercare only | $8.13 | $11.48 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $7.59 Typical High $11.75 | Professional | 56 · Pre-op care only | $5.50 | $7.59 | $11.75 |
Where New Mexico sits
The same service costs 3.2 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.
New Mexico· 17th of 51
$115
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.