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 Professional Modifier None Typical Low $30.90 Median $38.90 Typical High $52.48 | Professional | None | $30.90 | $38.90 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $77.62 Typical High $77.62 | Facility | None | $54.95 | $77.62 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None | $83.18 | $83.18 | $83.18 |
HMSA Setting Professional Modifier None Typical Low $77.62 Median $81.28 Typical High $81.28 | Professional | None | $77.62 | $81.28 | $81.28 |
Kaiser Permanente Setting Professional Modifier None Typical Low $43.65 Median $53.70 Typical High $147.91 | Professional | None | $43.65 | $53.70 | $147.91 |
United Setting Professional Modifier None Typical Low $61.66 Median $83.18 Typical High $83.18 | Professional | None | $61.66 | $83.18 | $83.18 |
University Health Alliance Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
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 $4.68 Median $6.46 Typical High $8.32 | Professional | 55 · Aftercare only | $4.68 | $6.46 | $8.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.09 Median $4.27 Typical High $5.13 | Professional | 56 · Pre-op care only | $3.09 | $4.27 | $5.13 |
Where Hawaii 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.
Hawaii· 2nd of 51
$83.18
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.