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 $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,513.56 | Professional | None | $1,479.11 | $1,479.11 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,479.11 | $1,479.11 | $1,479.11 |
Medica Setting Facility Modifier None Typical Low $1,698.24 Median $1,995.26 Typical High $17,378.01 | Facility | None | $1,698.24 | $1,995.26 | $17,378.01 |
Medica Setting Professional Modifier None Typical Low $1,348.96 Median $2,290.87 Typical High $25,703.96 | Professional | None | $1,348.96 | $2,290.87 | $25,703.96 |
United Setting Facility Modifier None Typical Low $2,137.96 Median $3,715.35 Typical High $3,715.35 | Facility | None | $2,137.96 | $3,715.35 | $3,715.35 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,548.82 Typical High $2,290.87 | Professional | None | $1,071.52 | $1,548.82 | $2,290.87 |
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 $741.31 Median $741.31 Typical High $758.58 | Professional | 52 · Reduced service | $741.31 | $741.31 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $295.12 Typical High $302.00 | Professional | 53 · Discontinued | $295.12 | $295.12 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $218.78 Typical High $229.09 | Professional | 55 · Aftercare only | $218.78 | $218.78 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $147.91 Typical High $151.36 | Professional | 56 · Pre-op care only | $147.91 | $147.91 | $151.36 |
Where Oklahoma sits
The same service costs 4.4 times more in Hawaii than in Delaware. 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· 42nd of 51
$1,778
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.