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 $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $53.70 | Professional | None | $52.48 | $52.48 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
Medica Setting Facility Modifier None Typical Low $58.88 Median $70.79 Typical High $588.84 | Facility | None | $58.88 | $70.79 | $588.84 |
Medica Setting Professional Modifier None Typical Low $47.86 Median $81.28 Typical High $660.69 | Professional | None | $47.86 | $81.28 | $660.69 |
United Setting Facility Modifier None Typical Low $48.98 Median $131.83 Typical High $131.83 | Facility | None | $48.98 | $131.83 | $131.83 |
United Setting Professional Modifier None Typical Low $38.02 Median $53.70 Typical High $81.28 | Professional | None | $38.02 | $53.70 | $81.28 |
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 $25.70 Median $25.70 Typical High $26.92 | Professional | 52 · Reduced service | $25.70 | $25.70 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.47 Typical High $10.72 | Professional | 53 · Discontinued | $10.47 | $10.47 | $10.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $7.76 Typical High $8.13 | Professional | 55 · Aftercare only | $7.76 | $7.76 | $8.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.25 Median $5.25 Typical High $5.37 | Professional | 56 · Pre-op care only | $5.25 | $5.25 | $5.37 |
Where Oklahoma sits
The same service costs 2.2 times more in Hawaii than in Alabama. 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· 44th of 51
$63.10
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.