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 Professional Modifier None Typical Low $35.48 Median $39.81 Typical High $72.44 | Professional | None | $35.48 | $39.81 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
HMSA Setting Professional Modifier None Typical Low $46.77 Median $48.98 Typical High $48.98 | Professional | None | $46.77 | $48.98 | $48.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $40.74 Median $48.98 Typical High $61.66 | Professional | None | $40.74 | $48.98 | $61.66 |
United Setting Professional Modifier None Typical Low $42.66 Median $54.95 Typical High $54.95 | Professional | None | $42.66 | $54.95 | $54.95 |
2 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 55 · Aftercare only Typical Low $5.25 Median $6.31 Typical High $11.48 | Professional | 55 · Aftercare only | $5.25 | $6.31 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.55 Median $4.27 Typical High $7.59 | Professional | 56 · Pre-op care only | $3.55 | $4.27 | $7.59 |
Where Hawaii sits
The same service costs 2.6 times more in Texas than in Connecticut. 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.
Hawaii· 23rd of 51
$48.98
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.