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 $1,659.59 Median $1,659.59 Typical High $2,187.76 | Facility | None | $1,659.59 | $1,659.59 | $2,187.76 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,659.59 Typical High $2,187.76 | Professional | None | $1,047.13 | $1,659.59 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $1,071.52 Median $1,318.26 Typical High $1,513.56 | Facility | None | $1,071.52 | $1,318.26 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $2,344.23 Median $3,019.95 Typical High $3,388.44 | Professional | None | $2,344.23 | $3,019.95 | $3,388.44 |
Hally Health Setting Professional Modifier None Typical Low $977.24 Median $1,862.09 Typical High $2,511.89 | Professional | None | $977.24 | $1,862.09 | $2,511.89 |
Medica Setting Facility Modifier None Typical Low $1,258.93 Median $3,388.44 Typical High $8,128.31 | Facility | None | $1,258.93 | $3,388.44 | $8,128.31 |
Medica Setting Professional Modifier None Typical Low $1,819.70 Median $3,019.95 Typical High $10,232.93 | Professional | None | $1,819.70 | $3,019.95 | $10,232.93 |
Midlands Setting Professional Modifier None Typical Low $1,995.26 Median $2,630.27 Typical High $3,388.44 | Professional | None | $1,995.26 | $2,630.27 | $3,388.44 |
Midlands Setting Facility Modifier None Typical Low $933.25 Median $1,348.96 Typical High $1,621.81 | Facility | None | $933.25 | $1,348.96 | $1,621.81 |
Midlands Setting Professional Modifier None Typical Low $2,290.87 Median $3,090.30 Typical High $3,715.35 | Professional | None | $2,290.87 | $3,090.30 | $3,715.35 |
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 $1,230.27 Median $2,041.74 Typical High $3,548.13 | Professional | None | $1,230.27 | $2,041.74 | $3,548.13 |
Wellmark Setting Professional Modifier None Typical Low $1,905.46 Median $2,238.72 Typical High $3,467.37 | Professional | None | $1,905.46 | $2,238.72 | $3,467.37 |
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 $524.81 Median $831.76 Typical High $1,096.48 | Professional | 52 · Reduced service | $524.81 | $831.76 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $331.13 Typical High $436.52 | Professional | 53 · Discontinued | $208.93 | $331.13 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $251.19 Typical High $331.13 | Professional | 55 · Aftercare only | $154.88 | $251.19 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $165.96 Typical High $218.78 | Professional | 56 · Pre-op care only | $104.71 | $165.96 | $218.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $1,174.90 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $724.44 | $1,174.90 | $1,548.82 |
Where Iowa sits
The same service costs 5.0 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
$2,570
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.