How much rates vary
Facilitymedian $1,202 · 10th to 90th $759 to $1,905Professionalmedian $1,660 · 10th to 90th $813 to $2,399
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 $724.44 Median $912.01 Typical High $4,365.16 | Facility | None | $724.44 | $912.01 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $758.58 Typical High $1,096.48 | Professional | None | $602.56 | $758.58 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $1,412.54 Typical High $1,659.59 | Facility | None | $1,202.26 | $1,412.54 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $1,862.09 Typical High $2,630.27 | Professional | None | $1,479.11 | $1,862.09 | $2,630.27 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,047.13 Typical High $1,698.24 | Facility | None | $758.58 | $1,047.13 | $1,698.24 |
Medica Setting Professional Modifier None Typical Low $831.76 Median $2,238.72 Typical High $6,606.93 | Professional | None | $831.76 | $2,238.72 | $6,606.93 |
Midlands Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,041.74 | Professional | None | $1,659.59 | $1,659.59 | $2,041.74 |
Midlands Setting Facility Modifier None Typical Low $1,096.48 Median $1,348.96 Typical High $1,819.70 | Facility | None | $1,096.48 | $1,348.96 | $1,819.70 |
Midlands Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,905.46 | Professional | None | $1,513.56 | $1,513.56 | $1,905.46 |
Sanford Health Plan Setting Professional Modifier None Typical Low $891.25 Median $1,348.96 Typical High $1,778.28 | Professional | None | $891.25 | $1,348.96 | $1,778.28 |
United Setting Facility Modifier None Typical Low $758.58 Median $891.25 Typical High $1,698.24 | Facility | None | $758.58 | $891.25 | $1,698.24 |
United Setting Professional Modifier None Typical Low $794.33 Median $1,513.56 Typical High $2,511.89 | Professional | None | $794.33 | $1,513.56 | $2,511.89 |
Wellmark Setting Professional Modifier None Typical Low $1,348.96 Median $1,548.82 Typical High $2,238.72 | Professional | None | $1,348.96 | $1,548.82 | $2,238.72 |
6 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 $302.00 Median $380.19 Typical High $489.78 | Professional | 52 · Reduced service | $302.00 | $380.19 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $151.36 Typical High $194.98 | Professional | 53 · Discontinued | $120.23 | $151.36 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $575.44 Typical High $741.31 | Professional | 54 · Surgery only | $457.09 | $575.44 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $114.82 Typical High $147.91 | Professional | 55 · Aftercare only | $91.20 | $114.82 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $75.86 Typical High $97.72 | Professional | 56 · Pre-op care only | $60.26 | $75.86 | $97.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $537.03 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $426.58 | $537.03 | $691.83 |
Where South Dakota sits
The same service costs 3.7 times more in Alaska 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.
Physician feeFacility fee
AK $6,113DE $1,645
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.