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 Facility Modifier None Typical Low $4,570.88 Median $4,570.88 Typical High $4,570.88 | Facility | None | $4,570.88 | $4,570.88 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $3,890.45 Median $3,981.07 Typical High $4,570.88 | Professional | None | $3,890.45 | $3,981.07 | $4,570.88 |
Cigna Setting Facility Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $9,549.93 | Facility | None | $4,786.30 | $4,786.30 | $9,549.93 |
Cigna Setting Professional Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Professional | None | $4,786.30 | $4,786.30 | $4,786.30 |
Molina Setting Professional Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $7,079.46 | Professional | None | $5,128.61 | $5,128.61 | $7,079.46 |
Providence Setting Facility Modifier None Typical Low $1,905.46 Median $2,137.96 Typical High $9,549.93 | Facility | None | $1,905.46 | $2,137.96 | $9,549.93 |
Providence Setting Professional Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Professional | None | $4,786.30 | $4,786.30 | $4,786.30 |
United Setting Professional Modifier None Typical Low $5,623.41 Median $5,623.41 Typical High $5,623.41 | Professional | None | $5,623.41 | $5,623.41 | $5,623.41 |
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 $1,949.84 Median $1,995.26 Typical High $2,290.87 | Professional | 52 · Reduced service | $1,949.84 | $1,995.26 | $2,290.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $776.25 Median $794.33 Typical High $912.01 | Professional | 53 · Discontinued | $776.25 | $794.33 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $588.84 Median $602.56 Typical High $691.83 | Professional | 55 · Aftercare only | $588.84 | $602.56 | $691.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $389.05 Median $398.11 Typical High $457.09 | Professional | 56 · Pre-op care only | $389.05 | $398.11 | $457.09 |
Where New Mexico sits
The same service costs 1.5 times more in Alaska than in Idaho. 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.
New Mexico· 29th of 51
$4,786
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.