How much rates vary
Facilitymedian $9,550 · 10th to 90th $2,692 to $28,184Professionalmedian $8,128 · 10th to 90th $4,467 to $10,965
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 $6,165.95 Typical High $7,943.28 | Facility | None | $4,265.80 | $6,165.95 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $3,548.13 Median $6,165.95 Typical High $6,165.95 | Professional | None | $3,548.13 | $6,165.95 | $6,165.95 |
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 $7,585.78 Median $8,709.64 Typical High $10,715.19 | Professional | None | $7,585.78 | $8,709.64 | $10,715.19 |
Hally Health Setting Professional Modifier None Typical Low $3,630.78 Median $5,888.44 Typical High $7,079.46 | Professional | None | $3,630.78 | $5,888.44 | $7,079.46 |
Medica Setting Facility Modifier None Typical Low $2,454.71 Median $8,709.64 Typical High $12,882.50 | Facility | None | $2,454.71 | $8,709.64 | $12,882.50 |
Medica Setting Professional Modifier None Typical Low $4,466.84 Median $8,709.64 Typical High $30,199.52 | Professional | None | $4,466.84 | $8,709.64 | $30,199.52 |
Midlands Setting Professional Modifier None Typical Low $7,413.10 Median $8,709.64 Typical High $10,232.93 | Professional | None | $7,413.10 | $8,709.64 | $10,232.93 |
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 $7,079.46 Median $8,317.64 Typical High $14,454.40 | Professional | None | $7,079.46 | $8,317.64 | $14,454.40 |
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 $3,890.45 Median $6,025.60 Typical High $10,715.19 | Professional | None | $3,890.45 | $6,025.60 | $10,715.19 |
Wellmark Setting Professional Modifier None Typical Low $7,244.36 Median $7,244.36 Typical High $8,511.38 | Professional | None | $7,244.36 | $7,244.36 | $8,511.38 |
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 $1,778.28 Median $3,019.95 Typical High $3,019.95 | Professional | 52 · Reduced service | $1,778.28 | $3,019.95 | $3,019.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $707.95 Median $1,230.27 Typical High $1,230.27 | Professional | 53 · Discontinued | $707.95 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,630.27 Median $4,570.88 Typical High $4,570.88 | Professional | 54 · Surgery only | $2,630.27 | $4,570.88 | $4,570.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $524.81 Median $912.01 Typical High $912.01 | Professional | 55 · Aftercare only | $524.81 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $354.81 Median $616.60 Typical High $616.60 | Professional | 56 · Pre-op care only | $354.81 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,454.71 Median $4,265.80 Typical High $4,265.80 | Professional | 78 · Unplanned return to OR | $2,454.71 | $4,265.80 | $4,265.80 |
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· 4th of 51
$8,128
AK $15,849TX $776
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.