How much rates vary
Facilitymedian $7,762 · 10th to 90th $2,692 to $26,915Professionalmedian $6,026 · 10th to 90th $3,631 to $9,120
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 $4,265.80 Median $5,888.44 Typical High $7,943.28 | Facility | None | $4,265.80 | $5,888.44 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $2,951.21 Median $5,011.87 Typical High $5,011.87 | Professional | None | $2,951.21 | $5,011.87 | $5,011.87 |
Cigna Setting Facility Modifier None Typical Low $22,387.21 Median $26,915.35 Typical High $33,113.11 | Facility | None | $22,387.21 | $26,915.35 | $33,113.11 |
Cigna Setting Professional Modifier None Typical Low $6,309.57 Median $7,079.46 Typical High $8,912.51 | Professional | None | $6,309.57 | $7,079.46 | $8,912.51 |
Hally Health Setting Professional Modifier None Typical Low $3,019.95 Median $4,786.30 Typical High $5,623.41 | Professional | None | $3,019.95 | $4,786.30 | $5,623.41 |
Medica Setting Facility Modifier None Typical Low $2,454.71 Median $7,413.10 Typical High $12,882.50 | Facility | None | $2,454.71 | $7,413.10 | $12,882.50 |
Medica Setting Professional Modifier None Typical Low $3,630.78 Median $6,918.31 Typical High $26,915.35 | Professional | None | $3,630.78 | $6,918.31 | $26,915.35 |
Midlands Setting Professional Modifier None Typical Low $6,025.60 Median $7,079.46 Typical High $8,128.31 | Professional | None | $6,025.60 | $7,079.46 | $8,128.31 |
Midlands Setting Facility Modifier None Typical Low $22,387.21 Median $26,915.35 Typical High $33,113.11 | Facility | None | $22,387.21 | $26,915.35 | $33,113.11 |
Midlands Setting Professional Modifier None Typical Low $5,495.41 Median $6,918.31 Typical High $11,748.98 | Professional | None | $5,495.41 | $6,918.31 | $11,748.98 |
United Setting Facility Modifier None Typical Low $2,630.27 Median $10,232.93 Typical High $46,773.51 | Facility | None | $2,630.27 | $10,232.93 | $46,773.51 |
United Setting Professional Modifier None Typical Low $3,235.94 Median $4,897.79 Typical High $8,912.51 | Professional | None | $3,235.94 | $4,897.79 | $8,912.51 |
Wellmark Setting Professional Modifier None Typical Low $6,025.60 Median $6,025.60 Typical High $7,079.46 | Professional | None | $6,025.60 | $6,025.60 | $7,079.46 |
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 $1,479.11 Median $2,511.89 Typical High $2,511.89 | Professional | 52 · Reduced service | $1,479.11 | $2,511.89 | $2,511.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $588.84 Median $1,023.29 Typical High $1,023.29 | Professional | 53 · Discontinued | $588.84 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,187.76 Median $3,801.89 Typical High $3,801.89 | Professional | 54 · Surgery only | $2,187.76 | $3,801.89 | $3,801.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $436.52 Median $758.58 Typical High $758.58 | Professional | 55 · Aftercare only | $436.52 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $295.12 Median $501.19 Typical High $501.19 | Professional | 56 · Pre-op care only | $295.12 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,041.74 Median $3,548.13 Typical High $3,548.13 | Professional | 78 · Unplanned return to OR | $2,041.74 | $3,548.13 | $3,548.13 |
Where Iowa sits
The same service costs 20.4 times more in Alaska than in Texas. 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· 7th of 51
$6,310
AK $13,183TX $646
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.