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 $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $1,000.00 Typical High $1,000.00 | Professional | None | $870.96 | $1,000.00 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | None | $954.99 | $954.99 | $954.99 |
Medica Setting Facility Modifier None Typical Low $1,047.13 Median $1,258.93 Typical High $9,549.93 | Facility | None | $1,047.13 | $1,258.93 | $9,549.93 |
Medica Setting Professional Modifier None Typical Low $758.58 Median $1,288.25 Typical High $14,454.40 | Professional | None | $758.58 | $1,288.25 | $14,454.40 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $2,089.30 Typical High $2,089.30 | Facility | None | $1,000.00 | $2,089.30 | $2,089.30 |
United Setting Professional Modifier None Typical Low $602.56 Median $912.01 Typical High $1,288.25 | Professional | None | $602.56 | $912.01 | $1,288.25 |
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 $436.52 Median $501.19 Typical High $501.19 | Professional | 52 · Reduced service | $436.52 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $199.53 Typical High $199.53 | Professional | 53 · Discontinued | $173.78 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $151.36 Typical High $151.36 | Professional | 55 · Aftercare only | $131.83 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $100.00 Typical High $100.00 | Professional | 56 · Pre-op care only | $87.10 | $100.00 | $100.00 |
Where Oklahoma sits
The same service costs 3.0 times more in Kansas 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· 48th of 51
$1,000
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.