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 $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $43.65 | Professional | None | $34.67 | $34.67 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $50.12 | Facility | None | $40.74 | $40.74 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Medica Setting Facility Modifier None Typical Low $38.90 Median $61.66 Typical High $281.84 | Facility | None | $38.90 | $61.66 | $281.84 |
Medica Setting Professional Modifier None Typical Low $20.42 Median $57.54 Typical High $316.23 | Professional | None | $20.42 | $57.54 | $316.23 |
United Setting Professional Modifier None Typical Low $20.42 Median $25.12 Typical High $77.62 | Professional | None | $20.42 | $25.12 | $77.62 |
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 $5.75 Typical High $6.61 | Professional | 55 · Aftercare only | $5.25 | $5.75 | $6.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.47 Median $3.89 Typical High $4.37 | Professional | 56 · Pre-op care only | $3.47 | $3.89 | $4.37 |
Where Oklahoma sits
The same service costs 2.6 times more in Wyoming than in Kentucky. 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· 45th of 51
$34.67
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.