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 $2,951.21 Typical High $6,760.83 | Facility | None | $602.56 | $2,951.21 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $223.87 Typical High $302.00 | Professional | None | $208.93 | $223.87 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $11,748.98 Median $20,417.38 Typical High $26,302.68 | Facility | None | $11,748.98 | $20,417.38 | $26,302.68 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $426.58 | Professional | None | $346.74 | $346.74 | $426.58 |
Hally Health Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
Medica Setting Facility Modifier None Typical Low $407.38 Median $5,888.44 Typical High $31,622.78 | Facility | None | $407.38 | $5,888.44 | $31,622.78 |
Medica Setting Professional Modifier None Typical Low $281.84 Median $398.11 Typical High $1,819.70 | Professional | None | $281.84 | $398.11 | $1,819.70 |
Midlands Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
Midlands Setting Facility Modifier None Typical Low $9,120.11 Median $20,417.38 Typical High $26,302.68 | Facility | None | $9,120.11 | $20,417.38 | $26,302.68 |
Midlands Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $6,309.57 Typical High $33,884.42 | Facility | None | $1,819.70 | $6,309.57 | $33,884.42 |
United Setting Professional Modifier None Typical Low $257.04 Median $398.11 Typical High $724.44 | Professional | None | $257.04 | $398.11 | $724.44 |
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 $104.71 Median $112.20 Typical High $117.49 | Professional | 52 · Reduced service | $104.71 | $112.20 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $44.67 Typical High $46.77 | Professional | 53 · Discontinued | $41.69 | $44.67 | $46.77 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $165.96 Typical High $173.78 | Professional | 54 · Surgery only | $158.49 | $165.96 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $33.11 Typical High $34.67 | Professional | 55 · Aftercare only | $31.62 | $33.11 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $22.39 Typical High $23.44 | Professional | 56 · Pre-op care only | $20.89 | $22.39 | $23.44 |
Where Iowa sits
The same service costs 9.5 times more in Arkansas than in Kentucky. 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· 21st of 51
$389
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.