How much rates vary
Facilitymedian $3,802 · 10th to 90th $479 to $7,413Professionalmedian $7,079 · 10th to 90th $631 to $15,849
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 $346.74 Median $3,090.30 Typical High $5,888.44 | Facility | None | $346.74 | $3,090.30 | $5,888.44 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $707.95 Typical High $5,128.61 | Professional | None | $281.84 | $707.95 | $5,128.61 |
Cigna Setting Facility Modifier None Typical Low $3,801.89 Median $7,079.46 Typical High $9,332.54 | Facility | None | $3,801.89 | $7,079.46 | $9,332.54 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $977.24 Typical High $14,791.08 | Professional | None | $707.95 | $977.24 | $14,791.08 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $3,467.37 Typical High $7,413.10 | Facility | None | $478.63 | $3,467.37 | $7,413.10 |
Medica Setting Professional Modifier None Typical Low $5,011.87 Median $15,848.93 Typical High $37,153.52 | Professional | None | $5,011.87 | $15,848.93 | $37,153.52 |
Midlands Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $13,182.57 | Professional | None | $831.76 | $831.76 | $13,182.57 |
Midlands Setting Facility Modifier None Typical Low $3,801.89 Median $6,606.93 Typical High $8,511.38 | Facility | None | $3,801.89 | $6,606.93 | $8,511.38 |
Midlands Setting Professional Modifier None Typical Low $724.44 Median $831.76 Typical High $14,454.40 | Professional | None | $724.44 | $831.76 | $14,454.40 |
Sanford Health Plan Setting Professional Modifier None Typical Low $549.54 Median $7,079.46 Typical High $10,232.93 | Professional | None | $549.54 | $7,079.46 | $10,232.93 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,890.45 | Facility | None | $3,235.94 | $3,235.94 | $3,890.45 |
United Setting Professional Modifier None Typical Low $436.52 Median $2,344.23 Typical High $16,218.10 | Professional | None | $436.52 | $2,344.23 | $16,218.10 |
Wellmark Setting Professional Modifier None Typical Low $660.69 Median $776.25 Typical High $12,589.25 | Professional | None | $660.69 | $776.25 | $12,589.25 |
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 $141.25 Median $354.81 Typical High $2,570.40 | Professional | 52 · Reduced service | $141.25 | $354.81 | $2,570.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $141.25 Typical High $1,023.29 | Professional | 53 · Discontinued | $56.23 | $141.25 | $1,023.29 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $524.81 Typical High $3,801.89 | Professional | 54 · Surgery only | $208.93 | $524.81 | $3,801.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $107.15 Typical High $758.58 | Professional | 55 · Aftercare only | $41.69 | $107.15 | $758.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $70.79 Typical High $512.86 | Professional | 56 · Pre-op care only | $28.18 | $70.79 | $512.86 |
Where South Dakota sits
The same service costs 6.7 times more in Iowa than in Kentucky. 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
IA $15,348KY $2,289
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.