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 $7.41 Median $12.02 Typical High $26.30 | Professional | None | $7.41 | $12.02 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $30.90 Typical High $30.90 | Professional | None | $29.51 | $30.90 | $30.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $8.51 Median $25.12 Typical High $32.36 | Professional | None | $8.51 | $25.12 | $32.36 |
United Setting Professional Modifier None Typical Low $13.80 Median $30.90 Typical High $30.90 | Professional | None | $13.80 | $30.90 | $30.90 |
University Health Alliance Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
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 $1.07 Median $1.78 Typical High $3.63 | Professional | 55 · Aftercare only | $1.07 | $1.78 | $3.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.72 Median $1.20 Typical High $2.40 | Professional | 56 · Pre-op care only | $0.72 | $1.20 | $2.40 |
Where Hawaii sits
The same service costs 3.8 times more in Alaska than in Washington, DC. 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· 3rd of 51
$29.51
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.