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 $23.44 Median $23.44 Typical High $23.44 | Facility | None | $23.44 | $23.44 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $23.99 Typical High $23.99 | Professional | None | $23.44 | $23.99 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $25.12 Typical High $467.74 | Facility | None | $24.55 | $25.12 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $33.88 Typical High $36.31 | Professional | None | $26.92 | $33.88 | $36.31 |
Medica Setting Facility Modifier None Typical Low $25.12 Median $34.67 Typical High $56.23 | Facility | None | $25.12 | $34.67 | $56.23 |
Medica Setting Professional Modifier None Typical Low $22.91 Median $32.36 Typical High $239.88 | Professional | None | $22.91 | $32.36 | $239.88 |
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 $21.38 Median $26.92 Typical High $48.98 | Professional | None | $21.38 | $26.92 | $48.98 |
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 $11.75 Median $12.02 Typical High $12.02 | Professional | 52 · Reduced service | $11.75 | $12.02 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $4.79 Typical High $4.79 | Professional | 53 · Discontinued | $4.68 | $4.79 | $4.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.55 Median $3.63 Typical High $3.63 | Professional | 55 · Aftercare only | $3.55 | $3.63 | $3.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.34 Median $2.40 Typical High $2.40 | Professional | 56 · Pre-op care only | $2.34 | $2.40 | $2.40 |
Where Oklahoma sits
The same service costs 2.5 times more in Minnesota 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.
Oklahoma· 27th of 51
$33.88
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.