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 $66.07 Median $93.33 Typical High $93.33 | Facility | None | $66.07 | $93.33 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $83.18 | Professional | None | $66.07 | $66.07 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $85.11 Typical High $100.00 | Professional | None | $69.18 | $85.11 | $100.00 |
Medica Setting Facility Modifier None Typical Low $66.07 Median $102.33 Typical High $114.82 | Facility | None | $66.07 | $102.33 | $114.82 |
Medica Setting Professional Modifier None Typical Low $69.18 Median $93.33 Typical High $489.78 | Professional | None | $69.18 | $93.33 | $489.78 |
United Setting Facility Modifier None Typical Low $20.42 Median $75.86 Typical High $120.23 | Facility | None | $20.42 | $75.86 | $120.23 |
United Setting Professional Modifier None Typical Low $64.57 Median $81.28 Typical High $102.33 | Professional | None | $64.57 | $81.28 | $102.33 |
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 $33.11 Median $33.11 Typical High $41.69 | Professional | 52 · Reduced service | $33.11 | $33.11 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $16.60 | Professional | 53 · Discontinued | $13.18 | $13.18 | $16.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $9.77 Typical High $12.30 | Professional | 55 · Aftercare only | $9.77 | $9.77 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $6.61 Typical High $8.32 | Professional | 56 · Pre-op care only | $6.61 | $6.61 | $8.32 |
Where Oklahoma 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.
Oklahoma· 33rd of 51
$85.11
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.