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 $107.15 Median $2,630.27 Typical High $6,760.83 | Facility | None | $107.15 | $2,630.27 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $60.26 Typical High $107.15 | Professional | None | $28.84 | $60.26 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $100.00 Typical High $194.98 | Professional | None | $67.61 | $100.00 | $194.98 |
Hally Health Setting Professional Modifier None Typical Low $31.62 Median $81.28 Typical High $173.78 | Professional | None | $31.62 | $81.28 | $173.78 |
Medica Setting Facility Modifier None Typical Low $75.86 Median $158.49 Typical High $1,513.56 | Facility | None | $75.86 | $158.49 | $1,513.56 |
Medica Setting Professional Modifier None Typical Low $70.79 Median $134.90 Typical High $251.19 | Professional | None | $70.79 | $134.90 | $251.19 |
Midlands Setting Professional Modifier None Typical Low $67.61 Median $134.90 Typical High $186.21 | Professional | None | $67.61 | $134.90 | $186.21 |
Oscar Health Setting Professional Modifier None Typical Low $27.54 Median $61.66 Typical High $147.91 | Professional | None | $27.54 | $61.66 | $147.91 |
United Setting Facility Modifier None Typical Low $158.49 Median $954.99 Typical High $1,995.26 | Facility | None | $158.49 | $954.99 | $1,995.26 |
United Setting Professional Modifier None Typical Low $37.15 Median $79.43 Typical High $169.82 | Professional | None | $37.15 | $79.43 | $169.82 |
Wellmark Setting Professional Modifier None Typical Low $50.12 Median $54.95 Typical High $141.25 | Professional | None | $50.12 | $54.95 | $141.25 |
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 $14.79 Median $23.44 Typical High $53.70 | Professional | 52 · Reduced service | $14.79 | $23.44 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $9.33 Typical High $21.38 | Professional | 53 · Discontinued | $5.89 | $9.33 | $21.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $21.88 Median $35.48 Typical High $79.43 | Professional | 54 · Surgery only | $21.88 | $35.48 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.47 Median $7.08 Typical High $15.85 | Professional | 55 · Aftercare only | $4.47 | $7.08 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.95 Median $4.68 Typical High $10.72 | Professional | 56 · Pre-op care only | $2.95 | $4.68 | $10.72 |
Where Iowa sits
The same service costs 3.3 times more in Alaska 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· 8th of 51
$87.10
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.