How much rates vary
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 $1,905.46 Median $1,905.46 Typical High $2,344.23 | Facility | None | $1,905.46 | $1,905.46 | $2,344.23 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,905.46 Typical High $2,344.23 | Professional | None | $1,174.90 | $1,905.46 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $1,071.52 Median $1,288.25 Typical High $1,513.56 | Facility | None | $1,071.52 | $1,288.25 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $2,691.53 Median $3,311.31 Typical High $3,981.07 | Professional | None | $2,691.53 | $3,311.31 | $3,981.07 |
Hally Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,995.26 Typical High $2,818.38 | Professional | None | $1,096.48 | $1,995.26 | $2,818.38 |
Medica Setting Facility Modifier None Typical Low $1,230.27 Median $3,630.78 Typical High $8,128.31 | Facility | None | $1,230.27 | $3,630.78 | $8,128.31 |
Medica Setting Professional Modifier None Typical Low $1,949.84 Median $3,235.94 Typical High $10,964.78 | Professional | None | $1,949.84 | $3,235.94 | $10,964.78 |
Midlands Setting Professional Modifier None Typical Low $2,290.87 Median $2,818.38 Typical High $3,715.35 | Professional | None | $2,290.87 | $2,818.38 | $3,715.35 |
Midlands Setting Facility Modifier None Typical Low $912.01 Median $1,348.96 Typical High $1,621.81 | Facility | None | $912.01 | $1,348.96 | $1,621.81 |
Midlands Setting Professional Modifier None Typical Low $2,691.53 Median $3,388.44 Typical High $3,981.07 | Professional | None | $2,691.53 | $3,388.44 | $3,981.07 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $5,011.87 Typical High $10,715.19 | Facility | None | $1,584.89 | $5,011.87 | $10,715.19 |
United Setting Professional Modifier None Typical Low $1,412.54 Median $2,187.76 Typical High $4,073.80 | Professional | None | $1,412.54 | $2,187.76 | $4,073.80 |
Wellmark Setting Professional Modifier None Typical Low $2,137.96 Median $2,570.40 Typical High $3,715.35 | Professional | None | $2,137.96 | $2,570.40 | $3,715.35 |
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 $588.84 Median $954.99 Typical High $1,174.90 | Professional | 52 · Reduced service | $588.84 | $954.99 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $380.19 Typical High $467.74 | Professional | 53 · Discontinued | $234.42 | $380.19 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $281.84 Typical High $354.81 | Professional | 55 · Aftercare only | $177.83 | $281.84 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $190.55 Typical High $234.42 | Professional | 56 · Pre-op care only | $117.49 | $190.55 | $234.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $1,318.26 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $831.76 | $1,318.26 | $1,659.59 |
Where Iowa sits
The same service costs 5.1 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
$2,818
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.