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 $5,495.41 Median $5,495.41 Typical High $5,495.41 | Facility | None | $5,495.41 | $5,495.41 | $5,495.41 |
Aetna Setting Professional Modifier None Typical Low $4,786.30 Median $4,897.79 Typical High $5,495.41 | Professional | None | $4,786.30 | $4,897.79 | $5,495.41 |
Cigna Setting Facility Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $10,000.00 | Facility | None | $5,011.87 | $5,011.87 | $10,000.00 |
Cigna Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | None | $5,011.87 | $5,011.87 | $5,011.87 |
Molina Setting Professional Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $7,585.78 | Professional | None | $5,495.41 | $5,495.41 | $7,585.78 |
Providence Setting Facility Modifier None Typical Low $1,659.59 Median $1,995.26 Typical High $10,000.00 | Facility | None | $1,659.59 | $1,995.26 | $10,000.00 |
Providence Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | None | $5,011.87 | $5,011.87 | $5,011.87 |
United Setting Professional Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $4,897.79 | Professional | None | $4,897.79 | $4,897.79 | $4,897.79 |
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 $2,344.23 Median $2,454.71 Typical High $2,754.23 | Professional | 52 · Reduced service | $2,344.23 | $2,454.71 | $2,754.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $954.99 Median $977.24 Typical High $1,122.02 | Professional | 53 · Discontinued | $954.99 | $977.24 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $707.95 Median $724.44 Typical High $831.76 | Professional | 55 · Aftercare only | $707.95 | $724.44 | $831.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $478.63 Median $489.78 Typical High $549.54 | Professional | 56 · Pre-op care only | $478.63 | $489.78 | $549.54 |
Where New Mexico sits
The same service costs 1.8 times more in Alaska than in North Carolina. 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· 44th of 51
$5,012
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.