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 $602.56 Median $4,265.80 Typical High $7,244.36 | Facility | None | $602.56 | $4,265.80 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $446.68 Typical High $575.44 | Professional | None | $426.58 | $446.68 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $6,760.83 Median $8,709.64 Typical High $10,471.29 | Facility | None | $6,760.83 | $8,709.64 | $10,471.29 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $812.83 | Professional | None | $660.69 | $660.69 | $812.83 |
Hally Health Setting Professional Modifier None Typical Low $478.63 Median $501.19 Typical High $741.31 | Professional | None | $478.63 | $501.19 | $741.31 |
Medica Setting Facility Modifier None Typical Low $741.31 Median $3,548.13 Typical High $17,378.01 | Facility | None | $741.31 | $3,548.13 | $17,378.01 |
Medica Setting Professional Modifier None Typical Low $537.03 Median $724.44 Typical High $3,715.35 | Professional | None | $537.03 | $724.44 | $3,715.35 |
Midlands Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
Midlands Setting Facility Modifier None Typical Low $5,370.32 Median $8,709.64 Typical High $10,471.29 | Facility | None | $5,370.32 | $8,709.64 | $10,471.29 |
Midlands Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,230.27 | $1,230.27 | $1,230.27 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,630.78 Typical High $19,054.61 | Facility | None | $1,258.93 | $3,630.78 | $19,054.61 |
United Setting Professional Modifier None Typical Low $501.19 Median $724.44 Typical High $1,348.96 | Professional | None | $501.19 | $724.44 | $1,348.96 |
5 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 $213.80 Median $223.87 Typical High $234.42 | Professional | 52 · Reduced service | $213.80 | $223.87 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $91.20 Typical High $93.33 | Professional | 53 · Discontinued | $85.11 | $91.20 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $338.84 Typical High $354.81 | Professional | 54 · Surgery only | $323.59 | $338.84 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $67.61 Typical High $70.79 | Professional | 55 · Aftercare only | $64.57 | $67.61 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $44.67 Typical High $46.77 | Professional | 56 · Pre-op care only | $42.66 | $44.67 | $46.77 |
Where Iowa sits
The same service costs 7.2 times more in Texas than in Pennsylvania. 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.
Iowa· 32nd of 51
$708
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.