How much rates vary
Facilitymedian $4,571 · 10th to 90th $1,778 to $12,303Professionalmedian $2,570 · 10th to 90th $1,514 to $3,890
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 $2,137.96 Median $5,011.87 Typical High $7,244.36 | Facility | None | $2,137.96 | $5,011.87 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $2,137.96 Typical High $2,137.96 | Professional | None | $1,230.27 | $2,137.96 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $4,570.88 Median $5,754.40 Typical High $6,309.57 | Facility | None | $4,570.88 | $5,754.40 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $2,630.27 Median $3,019.95 Typical High $3,630.78 | Professional | None | $2,630.27 | $3,019.95 | $3,630.78 |
Hally Health Setting Professional Modifier None Typical Low $1,230.27 Median $1,905.46 Typical High $2,344.23 | Professional | None | $1,230.27 | $1,905.46 | $2,344.23 |
Medica Setting Facility Modifier None Typical Low $1,659.59 Median $3,548.13 Typical High $12,302.69 | Facility | None | $1,659.59 | $3,548.13 | $12,302.69 |
Medica Setting Professional Modifier None Typical Low $1,548.82 Median $2,884.03 Typical High $12,589.25 | Professional | None | $1,548.82 | $2,884.03 | $12,589.25 |
Midlands Setting Professional Modifier None Typical Low $2,570.40 Median $3,019.95 Typical High $3,630.78 | Professional | None | $2,570.40 | $3,019.95 | $3,630.78 |
Midlands Setting Facility Modifier None Typical Low $4,570.88 Median $5,754.40 Typical High $6,309.57 | Facility | None | $4,570.88 | $5,754.40 | $6,309.57 |
Midlands Setting Professional Modifier None Typical Low $2,630.27 Median $2,951.21 Typical High $4,466.84 | Professional | None | $2,630.27 | $2,951.21 | $4,466.84 |
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 $1,348.96 Median $2,089.30 Typical High $3,801.89 | Professional | None | $1,348.96 | $2,089.30 | $3,801.89 |
Wellmark Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,951.21 | Professional | None | $2,511.89 | $2,511.89 | $2,951.21 |
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 $616.60 Median $1,047.13 Typical High $1,047.13 | Professional | 52 · Reduced service | $616.60 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $426.58 Typical High $426.58 | Professional | 53 · Discontinued | $245.47 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $1,584.89 Typical High $1,584.89 | Professional | 54 · Surgery only | $933.25 | $1,584.89 | $1,584.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $316.23 Typical High $316.23 | Professional | 55 · Aftercare only | $186.21 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $213.80 Typical High $213.80 | Professional | 56 · Pre-op care only | $123.03 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $1,479.11 Typical High $1,479.11 | Professional | 78 · Unplanned return to OR | $870.96 | $1,479.11 | $1,479.11 |
Where Iowa sits
The same service costs 15.1 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
AK $5,370TX $355
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.