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 $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,148.15 | $1,318.26 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
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 $1,380.38 Median $1,659.59 Typical High $12,882.50 | Facility | None | $1,380.38 | $1,659.59 | $12,882.50 |
Medica Setting Professional Modifier None Typical Low $1,023.29 Median $1,737.80 Typical High $15,848.93 | Professional | None | $1,023.29 | $1,737.80 | $15,848.93 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $2,818.38 Typical High $2,818.38 | Facility | None | $1,621.81 | $2,818.38 | $2,818.38 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,202.26 Typical High $1,737.80 | Professional | None | $812.83 | $1,202.26 | $1,737.80 |
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 $575.44 Median $660.69 Typical High $660.69 | Professional | 52 · Reduced service | $575.44 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $263.03 Typical High $263.03 | Professional | 53 · Discontinued | $229.09 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $194.98 Typical High $194.98 | Professional | 55 · Aftercare only | $169.82 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $131.83 Typical High $131.83 | Professional | 56 · Pre-op care only | $114.82 | $131.83 | $131.83 |
Where Oklahoma sits
The same service costs 3.2 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· 48th of 51
$1,349
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.