How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 Typical Low $42.66 Median $79.43 Typical High $79.43 | Professional | None | $42.66 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $12.02 Typical High $12.02 | Professional | 55 · Aftercare only | $7.08 | $12.02 | $12.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.68 Median $7.94 Typical High $7.94 | Professional | 56 · Pre-op care only | $4.68 | $7.94 | $7.94 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $47.86 | Facility | None | $44.67 | $44.67 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $44.67 | Professional | None | $38.02 | $38.02 | $44.67 |
Moda Health Setting Facility Modifier None Typical Low $69.18 Median $72.44 Typical High $114.82 | Facility | None | $69.18 | $72.44 | $114.82 |
Moda Health Setting Professional Modifier None Typical Low $66.07 Median $72.44 Typical High $79.43 | Professional | None | $66.07 | $72.44 | $79.43 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | 55 · Aftercare only | $12.02 | $12.02 | $12.02 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | 56 · Pre-op care only | $7.94 | $7.94 | $7.94 |
Premera BCBS Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $75.86 | Facility | None | $63.10 | $63.10 | $75.86 |
Premera BCBS Setting Professional Modifier None Typical Low $64.57 Median $74.13 Typical High $74.13 | Professional | None | $64.57 | $74.13 | $74.13 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $64.57 Median $74.13 Typical High $74.13 | Professional | NR · New when rented | $64.57 | $74.13 | $74.13 |
Providence Setting Facility Modifier None Typical Low $44.67 Median $69.18 Typical High $109.65 | Facility | None | $44.67 | $69.18 | $109.65 |
Providence Setting Professional Modifier None Typical Low $38.02 Median $45.71 Typical High $77.62 | Professional | None | $38.02 | $45.71 | $77.62 |
United Setting Professional Modifier None Typical Low $32.36 Median $38.90 Typical High $165.96 | Professional | None | $32.36 | $38.90 | $165.96 |
1 more rate 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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier RR · Rental Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | RR · Rental | $109.65 | $109.65 | $109.65 |
Where Alaska sits
The same service costs 2.5 times more in Wyoming 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.
Alaska· 8th of 51
$74.13
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.