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 $57.54 Median $67.61 Typical High $97.72 | Professional | None | $57.54 | $67.61 | $97.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $33.88 Typical High $48.98 | Professional | 52 · Reduced service | $28.18 | $33.88 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $13.80 Typical High $19.50 | Professional | 53 · Discontinued | $11.48 | $13.80 | $19.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $10.23 Typical High $14.79 | Professional | 55 · Aftercare only | $8.51 | $10.23 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $6.76 Typical High $9.77 | Professional | 56 · Pre-op care only | $5.75 | $6.76 | $9.77 |
CareSource Setting Professional Modifier None Typical Low $64.57 Median $89.13 Typical High $97.72 | Professional | None | $64.57 | $89.13 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $93.33 Typical High $120.23 | Professional | None | $54.95 | $93.33 | $120.23 |
Highmark BCBS Setting Professional Modifier None Typical Low $25.12 Median $147.91 Typical High $151.36 | Professional | None | $25.12 | $147.91 | $151.36 |
United Setting Professional Modifier None Typical Low $38.90 Median $64.57 Typical High $95.50 | Professional | None | $38.90 | $64.57 | $95.50 |
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 |
|---|---|---|---|---|---|
United Setting Professional Modifier XC Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | XC | $501.19 | $501.19 | $501.19 |
Where West Virginia sits
The same service costs 3.0 times more in Alaska than in Florida. 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.
West Virginia· 46th of 51
$67.61
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.