How much rates vary
Facilitymedian $6,166 · 10th to 90th $2,399 to $13,490Professionalmedian $5,012 · 10th to 90th $3,020 to $7,413
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 $4,073.80 Median $5,011.87 Typical High $7,244.36 | Facility | None | $4,073.80 | $5,011.87 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $2,398.83 Median $4,073.80 Typical High $4,073.80 | Professional | None | $2,398.83 | $4,073.80 | $4,073.80 |
Cigna Setting Facility Modifier None Typical Low $7,079.46 Median $8,912.51 Typical High $9,772.37 | Facility | None | $7,079.46 | $8,912.51 | $9,772.37 |
Cigna Setting Professional Modifier None Typical Low $5,128.61 Median $5,888.44 Typical High $7,244.36 | Professional | None | $5,128.61 | $5,888.44 | $7,244.36 |
Hally Health Setting Professional Modifier None Typical Low $2,454.71 Median $3,890.45 Typical High $4,677.35 | Professional | None | $2,454.71 | $3,890.45 | $4,677.35 |
Medica Setting Facility Modifier None Typical Low $1,380.38 Median $5,754.40 Typical High $9,772.37 | Facility | None | $1,380.38 | $5,754.40 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $3,019.95 Median $5,754.40 Typical High $19,054.61 | Professional | None | $3,019.95 | $5,754.40 | $19,054.61 |
Midlands Setting Professional Modifier None Typical Low $5,011.87 Median $5,888.44 Typical High $7,079.46 | Professional | None | $5,011.87 | $5,888.44 | $7,079.46 |
Midlands Setting Facility Modifier None Typical Low $7,079.46 Median $8,912.51 Typical High $9,772.37 | Facility | None | $7,079.46 | $8,912.51 | $9,772.37 |
Midlands Setting Professional Modifier None Typical Low $5,128.61 Median $5,623.41 Typical High $9,332.54 | Professional | None | $5,128.61 | $5,623.41 | $9,332.54 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $6,309.57 Typical High $19,054.61 | Facility | None | $1,819.70 | $6,309.57 | $19,054.61 |
United Setting Professional Modifier None Typical Low $2,630.27 Median $3,981.07 Typical High $7,244.36 | Professional | None | $2,630.27 | $3,981.07 | $7,244.36 |
Wellmark Setting Professional Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $5,754.40 | Professional | None | $4,897.79 | $4,897.79 | $5,754.40 |
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 $1,174.90 Median $2,041.74 Typical High $2,041.74 | Professional | 52 · Reduced service | $1,174.90 | $2,041.74 | $2,041.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $478.63 Median $812.83 Typical High $812.83 | Professional | 53 · Discontinued | $478.63 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,778.28 Median $3,090.30 Typical High $3,090.30 | Professional | 54 · Surgery only | $1,778.28 | $3,090.30 | $3,090.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $354.81 Median $616.60 Typical High $616.60 | Professional | 55 · Aftercare only | $354.81 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $239.88 Median $407.38 Typical High $407.38 | Professional | 56 · Pre-op care only | $239.88 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,659.59 Median $2,884.03 Typical High $2,884.03 | Professional | 78 · Unplanned return to OR | $1,659.59 | $2,884.03 | $2,884.03 |
Where Iowa sits
The same service costs 8.7 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· 6th of 51
$5,248
AK $10,715TX $1,230
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.