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 $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $79.43 | $81.28 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $1,949.84 | Facility | None | $169.82 | $169.82 | $1,949.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $128.82 | Professional | None (both parts) | $95.50 | $95.50 | $128.82 |
Medica Setting Facility Modifier None Typical Low $85.11 Median $138.04 Typical High $234.42 | Facility | None | $85.11 | $138.04 | $234.42 |
Medica Setting Professional Modifier None (both parts) Typical Low $83.18 Median $114.82 Typical High $537.03 | Professional | None (both parts) | $83.18 | $114.82 | $537.03 |
United Setting Facility Modifier None Typical Low $162.18 Median $602.56 Typical High $977.24 | Facility | None | $162.18 | $602.56 | $977.24 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $97.72 Typical High $173.78 | Professional | None (both parts) | $77.62 | $97.72 | $173.78 |
6 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 $39.81 Median $40.74 Typical High $40.74 | Professional | 52 · Reduced service | $39.81 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | 53 · Discontinued | $16.22 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $12.30 Typical High $12.30 | Professional | 55 · Aftercare only | $12.02 | $12.30 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $8.13 Typical High $8.13 | Professional | 56 · Pre-op care only | $7.94 | $8.13 | $8.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $120.23 Typical High $147.91 | Professional | TC · Technical part | $100.00 | $120.23 | $147.91 |
Medica Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | TC · Technical part | $467.74 | $467.74 | $467.74 |
Where Oklahoma sits
The same service costs 2.9 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.
Oklahoma· 33rd of 51
$95.50
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.