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 $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,230.27 | $1,412.54 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
Medica Setting Facility Modifier None Typical Low $1,479.11 Median $1,778.28 Typical High $13,489.63 | Facility | None | $1,479.11 | $1,778.28 | $13,489.63 |
Medica Setting Professional Modifier None Typical Low $1,023.29 Median $1,819.70 Typical High $15,848.93 | Professional | None | $1,023.29 | $1,819.70 | $15,848.93 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $2,884.03 Typical High $2,884.03 | Facility | None | $1,479.11 | $2,884.03 | $2,884.03 |
United Setting Professional Modifier None Typical Low $831.76 Median $1,230.27 Typical High $1,778.28 | Professional | None | $831.76 | $1,230.27 | $1,778.28 |
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 $616.60 Median $707.95 Typical High $707.95 | Professional | 52 · Reduced service | $616.60 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $281.84 Typical High $281.84 | Professional | 53 · Discontinued | $245.47 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $213.80 Typical High $213.80 | Professional | 55 · Aftercare only | $186.21 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $141.25 Typical High $141.25 | Professional | 56 · Pre-op care only | $123.03 | $141.25 | $141.25 |
Where Oklahoma sits
The same service costs 3.0 times more in Iowa 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· 43rd of 51
$1,413
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.