How much rates vary
Facilitymedian $4,467 · 10th to 90th $1,778 to $13,183Professionalmedian $2,291 · 10th to 90th $1,380 to $3,467
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 $1,819.70 Median $3,548.13 Typical High $6,760.83 | Facility | None | $1,819.70 | $3,548.13 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,071.52 | $1,819.70 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $4,786.30 Median $5,754.40 Typical High $6,309.57 | Facility | None | $4,786.30 | $5,754.40 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $2,344.23 Median $2,570.40 Typical High $3,162.28 | Professional | None | $2,344.23 | $2,570.40 | $3,162.28 |
Hally Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,819.70 Typical High $3,388.44 | Professional | None | $1,071.52 | $1,819.70 | $3,388.44 |
Medica Setting Facility Modifier None Typical Low $1,659.59 Median $3,388.44 Typical High $13,182.57 | Facility | None | $1,659.59 | $3,388.44 | $13,182.57 |
Medica Setting Professional Modifier None Typical Low $1,380.38 Median $2,511.89 Typical High $10,000.00 | Professional | None | $1,380.38 | $2,511.89 | $10,000.00 |
Midlands Setting Professional Modifier None Typical Low $2,187.76 Median $2,570.40 Typical High $3,162.28 | Professional | None | $2,187.76 | $2,570.40 | $3,162.28 |
Midlands Setting Facility Modifier None Typical Low $4,786.30 Median $5,754.40 Typical High $6,309.57 | Facility | None | $4,786.30 | $5,754.40 | $6,309.57 |
Midlands Setting Professional Modifier None Typical Low $2,344.23 Median $2,511.89 Typical High $4,265.80 | Professional | None | $2,344.23 | $2,511.89 | $4,265.80 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $5,011.87 Typical High $15,488.17 | Facility | None | $1,584.89 | $5,011.87 | $15,488.17 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,862.09 Typical High $3,311.31 | Professional | None | $1,202.26 | $1,862.09 | $3,311.31 |
Wellmark Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,511.89 | Professional | None | $2,137.96 | $2,137.96 | $2,511.89 |
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 $537.03 Median $912.01 Typical High $912.01 | Professional | 52 · Reduced service | $537.03 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $363.08 Typical High $363.08 | Professional | 53 · Discontinued | $213.80 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $1,380.38 Typical High $1,380.38 | Professional | 54 · Surgery only | $794.33 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $275.42 Typical High $275.42 | Professional | 55 · Aftercare only | $162.18 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $181.97 Typical High $181.97 | Professional | 56 · Pre-op care only | $107.15 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $1,288.25 Typical High $1,288.25 | Professional | 78 · Unplanned return to OR | $741.31 | $1,288.25 | $1,288.25 |
Where Iowa sits
The same service costs 16.6 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· 5th of 51
$2,512
AK $4,677TX $282
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.