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 $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $1,071.52 Typical High $1,071.52 | Professional | None | $933.25 | $1,071.52 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
Medica Setting Facility Modifier None Typical Low $1,122.02 Median $1,348.96 Typical High $10,000.00 | Facility | None | $1,122.02 | $1,348.96 | $10,000.00 |
Medica Setting Professional Modifier None Typical Low $758.58 Median $1,348.96 Typical High $14,125.38 | Professional | None | $758.58 | $1,348.96 | $14,125.38 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $2,137.96 Typical High $2,137.96 | Facility | None | $1,230.27 | $2,137.96 | $2,137.96 |
United Setting Professional Modifier None Typical Low $616.60 Median $912.01 Typical High $1,318.26 | Professional | None | $616.60 | $912.01 | $1,318.26 |
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 $467.74 Median $537.03 Typical High $537.03 | Professional | 52 · Reduced service | $467.74 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $213.80 Typical High $213.80 | Professional | 53 · Discontinued | $186.21 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $162.18 Typical High $162.18 | Professional | 55 · Aftercare only | $141.25 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $107.15 Typical High $107.15 | Professional | 56 · Pre-op care only | $93.33 | $107.15 | $107.15 |
Where Oklahoma sits
The same service costs 3.6 times more in Hawaii than in Washington, DC. 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
$1,072
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.