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 $1,348.96 Median $4,897.79 Typical High $14,125.38 | Facility | None | $1,348.96 | $4,897.79 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $3,890.45 | Professional | None | $831.76 | $831.76 | $3,890.45 |
BCBS Setting Facility Modifier None Typical Low $3,890.45 Median $6,456.54 Typical High $10,232.93 | Facility | None | $3,890.45 | $6,456.54 | $10,232.93 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,412.54 Typical High $1,698.24 | Facility | None | $1,174.90 | $1,412.54 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $851.14 Typical High $1,000.00 | Professional | None | $575.44 | $851.14 | $1,000.00 |
Medica Setting Facility Modifier None Typical Low $870.96 Median $1,174.90 Typical High $6,760.83 | Facility | None | $870.96 | $1,174.90 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $645.65 Median $794.33 Typical High $5,623.41 | Professional | None | $645.65 | $794.33 | $5,623.41 |
United Setting Facility Modifier None Typical Low $933.25 Median $3,235.94 Typical High $6,025.60 | Facility | None | $933.25 | $3,235.94 | $6,025.60 |
United Setting Professional Modifier None Typical Low $616.60 Median $741.31 Typical High $977.24 | Professional | None | $616.60 | $741.31 | $977.24 |
6 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 $416.87 Median $416.87 Typical High $416.87 | Professional | 52 · Reduced service | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 53 · Discontinued | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $616.60 Typical High $630.96 | Professional | 54 · Surgery only | $616.60 | $616.60 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $123.03 Typical High $125.89 | Professional | 55 · Aftercare only | $123.03 | $123.03 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 56 · Pre-op care only | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $575.44 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $575.44 | $575.44 | $588.84 |
Where Oklahoma sits
The same service costs 4.6 times more in Alaska than in New York. 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· 13th of 51
$1,288
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.