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 $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $204.17 Typical High $213.80 | Professional | None | $89.13 | $204.17 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
Medica Setting Facility Modifier None Typical Low $204.17 Median $223.87 Typical High $446.68 | Facility | None | $204.17 | $223.87 | $446.68 |
Medica Setting Professional Modifier None Typical Low $75.86 Median $95.50 Typical High $537.03 | Professional | None | $75.86 | $95.50 | $537.03 |
United Setting Professional Modifier None Typical Low $75.86 Median $89.13 Typical High $114.82 | Professional | None | $75.86 | $89.13 | $114.82 |
4 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 52 · Reduced service Typical Low $44.67 Median $102.33 Typical High $104.71 | Professional | 52 · Reduced service | $44.67 | $102.33 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $41.69 Typical High $42.66 | Professional | 53 · Discontinued | $18.20 | $41.69 | $42.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $30.90 Typical High $31.62 | Professional | 55 · Aftercare only | $13.49 | $30.90 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $20.42 Typical High $21.38 | Professional | 56 · Pre-op care only | $9.33 | $20.42 | $21.38 |
Where Oklahoma sits
The same service costs 3.6 times more in Alaska 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.
Oklahoma· 33rd of 51
$89.13
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.