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 $18.20 Median $18.20 Typical High $69.18 | Facility | None | $18.20 | $18.20 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $47.86 Typical High $69.18 | Professional | None | $18.20 | $47.86 | $69.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.12 Median $23.99 Typical High $34.67 | Professional | 52 · Reduced service | $9.12 | $23.99 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $9.55 Typical High $13.80 | Professional | 53 · Discontinued | $3.63 | $9.55 | $13.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.75 Median $7.08 Typical High $10.23 | Professional | 55 · Aftercare only | $2.75 | $7.08 | $10.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.82 Median $4.79 Typical High $6.92 | Professional | 56 · Pre-op care only | $1.82 | $4.79 | $6.92 |
BCBS Setting Professional Modifier None Typical Low $20.42 Median $46.77 Typical High $104.71 | Professional | None | $20.42 | $46.77 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $45.71 Typical High $93.33 | Professional | None | $25.12 | $45.71 | $93.33 |
Medica Setting Facility Modifier None Typical Low $26.30 Median $61.66 Typical High $112.20 | Facility | None | $26.30 | $61.66 | $112.20 |
Medica Setting Professional Modifier None Typical Low $57.54 Median $83.18 Typical High $524.81 | Professional | None | $57.54 | $83.18 | $524.81 |
United Setting Facility Modifier None Typical Low $58.88 Median $213.80 Typical High $346.74 | Facility | None | $58.88 | $213.80 | $346.74 |
United Setting Professional Modifier None Typical Low $17.78 Median $30.20 Typical High $72.44 | Professional | None | $17.78 | $30.20 | $72.44 |
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 Oklahoma sits
The same service costs 4.4 times more in Hawaii than in Washington, DC. 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· 8th of 51
$64.57
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.