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 Professional Modifier None Typical Low $645.65 Median $776.25 Typical High $1,096.48 | Professional | None | $645.65 | $776.25 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $912.01 Typical High $1,819.70 | Professional | None | $645.65 | $912.01 | $1,819.70 |
HMSA Setting Professional Modifier None Typical Low $588.84 Median $676.08 Typical High $724.44 | Professional | None | $588.84 | $676.08 | $724.44 |
HMSA Setting Professional Modifier 51 · Multiple procedures Typical Low $288.40 Median $338.84 Typical High $363.08 | Professional | 51 · Multiple procedures | $288.40 | $338.84 | $363.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $512.86 Median $602.56 Typical High $758.58 | Professional | None | $512.86 | $602.56 | $758.58 |
United Setting Professional Modifier None Typical Low $616.60 Median $776.25 Typical High $776.25 | Professional | None | $616.60 | $776.25 | $776.25 |
University Health Alliance Setting Professional Modifier None Typical Low $537.03 Median $549.54 Typical High $549.54 | Professional | None | $537.03 | $549.54 | $549.54 |
4 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 $323.59 Median $389.05 Typical High $549.54 | Professional | 52 · Reduced service | $323.59 | $389.05 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $154.88 Typical High $218.78 | Professional | 53 · Discontinued | $128.82 | $154.88 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $117.49 Typical High $162.18 | Professional | 55 · Aftercare only | $97.72 | $117.49 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $77.62 Typical High $109.65 | Professional | 56 · Pre-op care only | $64.57 | $77.62 | $109.65 |
Where Hawaii sits
The same service costs 3.5 times more in Alaska than in Arkansas. 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· 43rd of 51
$676
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.