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 $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $83.18 Typical High $85.11 | Professional | None | $15.14 | $83.18 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | None | $12.02 | $12.02 | $12.02 |
Medica Setting Facility Modifier None Typical Low $75.86 Median $85.11 Typical High $93.33 | Facility | None | $75.86 | $85.11 | $93.33 |
Medica Setting Professional Modifier None Typical Low $12.02 Median $15.85 Typical High $91.20 | Professional | None | $12.02 | $15.85 | $91.20 |
United Setting Professional Modifier None Typical Low $12.02 Median $15.14 Typical High $19.05 | Professional | None | $12.02 | $15.14 | $19.05 |
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 $7.59 Median $41.69 Typical High $42.66 | Professional | 52 · Reduced service | $7.59 | $41.69 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $16.60 Typical High $16.98 | Professional | 53 · Discontinued | $3.02 | $16.60 | $16.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.24 Median $12.30 Typical High $12.59 | Professional | 55 · Aftercare only | $2.24 | $12.30 | $12.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.62 Median $8.32 Typical High $8.51 | Professional | 56 · Pre-op care only | $1.62 | $8.32 | $8.51 |
Where Oklahoma sits
The same service costs 4.9 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
$14.79
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.