How much rates vary
Facilitymedian $1,585 · 10th to 90th $468 to $5,754Professionalmedian $724 · 10th to 90th $245 to $1,698
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 $302.00 Median $1,445.44 Typical High $6,309.57 | Facility | None | $302.00 | $1,445.44 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $407.38 Typical High $870.96 | Professional | None | $144.54 | $407.38 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,230.27 Typical High $1,548.82 | Facility | None | $954.99 | $1,230.27 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $478.63 Typical High $1,445.44 | Professional | None | $338.84 | $478.63 | $1,445.44 |
Hally Health Setting Professional Modifier None Typical Low $141.25 Median $269.15 Typical High $794.33 | Professional | None | $141.25 | $269.15 | $794.33 |
Medica Setting Facility Modifier None Typical Low $407.38 Median $1,258.93 Typical High $4,168.69 | Facility | None | $407.38 | $1,258.93 | $4,168.69 |
Medica Setting Professional Modifier None Typical Low $407.38 Median $1,202.26 Typical High $2,344.23 | Professional | None | $407.38 | $1,202.26 | $2,344.23 |
Midlands Setting Professional Modifier None Typical Low $338.84 Median $1,071.52 Typical High $1,380.38 | Professional | None | $338.84 | $1,071.52 | $1,380.38 |
Midlands Setting Facility Modifier None Typical Low $812.83 Median $1,230.27 Typical High $1,548.82 | Facility | None | $812.83 | $1,230.27 | $1,548.82 |
Midlands Setting Professional Modifier None Typical Low $416.87 Median $478.63 Typical High $1,621.81 | Professional | None | $416.87 | $478.63 | $1,621.81 |
Oscar Health Setting Facility Modifier None Typical Low $1,584.89 Median $2,884.03 Typical High $8,128.31 | Facility | None | $1,584.89 | $2,884.03 | $8,128.31 |
Oscar Health Setting Professional Modifier None Typical Low $144.54 Median $323.59 Typical High $977.24 | Professional | None | $144.54 | $323.59 | $977.24 |
United Setting Facility Modifier None Typical Low $724.44 Median $2,884.03 Typical High $5,495.41 | Facility | None | $724.44 | $2,884.03 | $5,495.41 |
United Setting Professional Modifier None Typical Low $190.55 Median $549.54 Typical High $1,584.89 | Professional | None | $190.55 | $549.54 | $1,584.89 |
Wellmark Setting Professional Modifier None Typical Low $245.47 Median $288.40 Typical High $1,047.13 | Professional | None | $245.47 | $288.40 | $1,047.13 |
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 $72.44 Median $120.23 Typical High $363.08 | Professional | 52 · Reduced service | $72.44 | $120.23 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $47.86 Typical High $144.54 | Professional | 53 · Discontinued | $28.84 | $47.86 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $109.65 Median $181.97 Typical High $549.54 | Professional | 54 · Surgery only | $109.65 | $181.97 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $36.31 Typical High $109.65 | Professional | 55 · Aftercare only | $21.38 | $36.31 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $23.99 Typical High $72.44 | Professional | 56 · Pre-op care only | $14.45 | $23.99 | $72.44 |
Where Iowa sits
The same service costs 4.5 times more in Colorado than in Maryland. 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
CO $4,866MD $1,088
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.