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 $2,089.30 Median $2,089.30 Typical High $2,570.40 | Facility | None | $2,089.30 | $2,089.30 | $2,570.40 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $2,089.30 Typical High $2,570.40 | Professional | None | $1,288.25 | $2,089.30 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $1,380.38 Typical High $1,584.89 | Facility | None | $1,096.48 | $1,380.38 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $2,884.03 Median $3,630.78 Typical High $4,265.80 | Professional | None | $2,884.03 | $3,630.78 | $4,265.80 |
Hally Health Setting Professional Modifier None Typical Low $1,202.26 Median $2,137.96 Typical High $3,162.28 | Professional | None | $1,202.26 | $2,137.96 | $3,162.28 |
Medica Setting Facility Modifier None Typical Low $1,258.93 Median $3,890.45 Typical High $10,964.78 | Facility | None | $1,258.93 | $3,890.45 | $10,964.78 |
Medica Setting Professional Modifier None Typical Low $2,089.30 Median $3,467.37 Typical High $11,748.98 | Professional | None | $2,089.30 | $3,467.37 | $11,748.98 |
Midlands Setting Professional Modifier None Typical Low $2,454.71 Median $3,019.95 Typical High $3,981.07 | Professional | None | $2,454.71 | $3,019.95 | $3,981.07 |
Midlands Setting Facility Modifier None Typical Low $954.99 Median $1,380.38 Typical High $1,698.24 | Facility | None | $954.99 | $1,380.38 | $1,698.24 |
Midlands Setting Professional Modifier None Typical Low $2,951.21 Median $3,715.35 Typical High $4,265.80 | Professional | None | $2,951.21 | $3,715.35 | $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 $1,548.82 Median $2,398.83 Typical High $4,466.84 | Professional | None | $1,548.82 | $2,398.83 | $4,466.84 |
Wellmark Setting Professional Modifier None Typical Low $2,344.23 Median $2,754.23 Typical High $3,981.07 | Professional | None | $2,344.23 | $2,754.23 | $3,981.07 |
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 $645.65 Median $1,047.13 Typical High $1,258.93 | Professional | 52 · Reduced service | $645.65 | $1,047.13 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $416.87 Typical High $512.86 | Professional | 53 · Discontinued | $257.04 | $416.87 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $309.03 Typical High $380.19 | Professional | 55 · Aftercare only | $194.98 | $309.03 | $380.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $208.93 Typical High $257.04 | Professional | 56 · Pre-op care only | $128.82 | $208.93 | $257.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $1,445.44 Typical High $1,778.28 | Professional | 78 · Unplanned return to OR | $912.01 | $1,445.44 | $1,778.28 |
Where Iowa sits
The same service costs 5.5 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
$3,020
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.