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 $51.29 Median $77.62 Typical High $125.89 | Facility | None | $51.29 | $77.62 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $69.18 Typical High $102.33 | Professional | None | $38.90 | $69.18 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $51.29 Typical High $144.54 | Professional | None | $29.51 | $51.29 | $144.54 |
Moda Health Setting Facility Modifier None Typical Low $58.88 Median $120.23 Typical High $602.56 | Facility | None | $58.88 | $120.23 | $602.56 |
Moda Health Setting Professional Modifier None Typical Low $51.29 Median $77.62 Typical High $147.91 | Professional | None | $51.29 | $77.62 | $147.91 |
Premera BCBS Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $138.04 | Professional | None | $87.10 | $87.10 | $138.04 |
Providence Setting Facility Modifier None Typical Low $61.66 Median $89.13 Typical High $151.36 | Facility | None | $61.66 | $89.13 | $151.36 |
Providence Setting Professional Modifier None Typical Low $33.88 Median $67.61 Typical High $147.91 | Professional | None | $33.88 | $67.61 | $147.91 |
United Setting Professional Modifier None Typical Low $36.31 Median $81.28 Typical High $128.82 | Professional | None | $36.31 | $81.28 | $128.82 |
7 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 $17.38 Median $34.67 Typical High $51.29 | Professional | 52 · Reduced service | $17.38 | $34.67 | $51.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.25 Median $10.47 Typical High $15.49 | Professional | 55 · Aftercare only | $5.25 | $10.47 | $15.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.55 Median $6.92 Typical High $10.23 | Professional | 56 · Pre-op care only | $3.55 | $6.92 | $10.23 |
Moda Health Setting Professional Modifier 25 · Same-day visit Typical Low $38.90 Median $75.86 Typical High $229.09 | Professional | 25 · Same-day visit | $38.90 | $75.86 | $229.09 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $22.39 Median $34.67 Typical High $51.29 | Professional | 52 · Reduced service | $22.39 | $34.67 | $51.29 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $6.76 Median $10.47 Typical High $15.49 | Professional | 55 · Aftercare only | $6.76 | $10.47 | $15.49 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $6.92 Typical High $10.23 | Professional | 56 · Pre-op care only | $4.57 | $6.92 | $10.23 |
Where Alaska sits
The same service costs 2.4 times more in Alaska than in New Jersey. 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.
Alaska· 1st of 51
$77.62
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.