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 $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $114.82 Typical High $117.49 | Professional | None | $102.33 | $114.82 | $117.49 |
BCBS Setting Facility Modifier None Typical Low $120.23 Median $165.96 Typical High $281.84 | Facility | None | $120.23 | $165.96 | $281.84 |
BCBS Setting Professional Modifier None Typical Low $120.23 Median $151.36 Typical High $165.96 | Professional | None | $120.23 | $151.36 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $134.90 | Facility | None | $128.82 | $128.82 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $138.04 Typical High $173.78 | Professional | None | $79.43 | $138.04 | $173.78 |
Medica Setting Facility Modifier None Typical Low $83.18 Median $109.65 Typical High $223.87 | Facility | None | $83.18 | $109.65 | $223.87 |
Medica Setting Professional Modifier None Typical Low $104.71 Median $131.83 Typical High $776.25 | Professional | None | $104.71 | $131.83 | $776.25 |
United Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $134.90 | Facility | None | $97.72 | $97.72 | $134.90 |
United Setting Professional Modifier None Typical Low $100.00 Median $123.03 Typical High $190.55 | Professional | None | $100.00 | $123.03 | $190.55 |
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 $57.54 Median $57.54 Typical High $58.88 | Professional | 52 · Reduced service | $57.54 | $57.54 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $23.44 | Professional | 53 · Discontinued | $22.91 | $22.91 | $23.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $17.38 Typical High $17.38 | Professional | 55 · Aftercare only | $16.98 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $11.48 Typical High $11.75 | Professional | 56 · Pre-op care only | $11.48 | $11.48 | $11.75 |
Where Oklahoma sits
The same service costs 2.8 times more in Alaska than in Indiana. 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· 27th of 51
$145
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.