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 Professional Modifier None Typical Low $60.26 Median $95.50 Typical High $128.82 | Professional | None | $60.26 | $95.50 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
Kaiser Permanente Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
United Setting Professional Modifier None Typical Low $112.20 Median $158.49 Typical High $158.49 | Professional | None | $112.20 | $158.49 | $158.49 |
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 $30.20 Median $47.86 Typical High $64.57 | Professional | 52 · Reduced service | $30.20 | $47.86 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $19.05 Typical High $26.30 | Professional | 53 · Discontinued | $12.02 | $19.05 | $26.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $14.45 Typical High $19.50 | Professional | 55 · Aftercare only | $9.12 | $14.45 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $9.55 Typical High $12.88 | Professional | 56 · Pre-op care only | $6.03 | $9.55 | $12.88 |
Where Hawaii sits
The same service costs 3.3 times more in Alaska than in Wyoming. 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.
Hawaii· 5th of 51
$158
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.