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 $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,445.44 | $1,659.59 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,819.70 | $1,819.70 | $1,819.70 |
Medica Setting Facility Modifier None Typical Low $1,737.80 Median $2,089.30 Typical High $16,982.44 | Facility | None | $1,737.80 | $2,089.30 | $16,982.44 |
Medica Setting Professional Modifier None Typical Low $1,318.26 Median $2,290.87 Typical High $19,054.61 | Professional | None | $1,318.26 | $2,290.87 | $19,054.61 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $3,715.35 Typical High $3,715.35 | Facility | None | $1,698.24 | $3,715.35 | $3,715.35 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,548.82 Typical High $2,290.87 | Professional | None | $1,047.13 | $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 $724.44 Median $831.76 Typical High $831.76 | Professional | 52 · Reduced service | $724.44 | $831.76 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $331.13 Typical High $331.13 | Professional | 53 · Discontinued | $295.12 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $251.19 Typical High $251.19 | Professional | 55 · Aftercare only | $218.78 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $165.96 Typical High $165.96 | Professional | 56 · Pre-op care only | $144.54 | $165.96 | $165.96 |
Where Oklahoma sits
The same service costs 2.4 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· 44th of 51
$1,820
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.