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 $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $616.60 | Professional | None | $602.56 | $602.56 | $616.60 |
BCBS Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
Medica Setting Facility Modifier None Typical Low $691.83 Median $812.83 Typical High $7,079.46 | Facility | None | $691.83 | $812.83 | $7,079.46 |
Medica Setting Professional Modifier None Typical Low $549.54 Median $933.25 Typical High $12,882.50 | Professional | None | $549.54 | $933.25 | $12,882.50 |
United Setting Facility Modifier None Typical Low $870.96 Median $1,513.56 Typical High $1,513.56 | Facility | None | $870.96 | $1,513.56 | $1,513.56 |
United Setting Professional Modifier None Typical Low $436.52 Median $630.96 Typical High $933.25 | Professional | None | $436.52 | $630.96 | $933.25 |
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 $302.00 Median $302.00 Typical High $309.03 | Professional | 52 · Reduced service | $302.00 | $302.00 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $123.03 | Professional | 53 · Discontinued | $120.23 | $120.23 | $123.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $89.13 Typical High $93.33 | Professional | 55 · Aftercare only | $89.13 | $89.13 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $60.26 Typical High $61.66 | Professional | 56 · Pre-op care only | $60.26 | $60.26 | $61.66 |
Where Oklahoma sits
The same service costs 5.4 times more in Hawaii than in Florida. 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· 43rd of 51
$724
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.