How much rates vary
Facilitymedian $5,248 · 10th to 90th $1,660 to $11,749Professionalmedian $4,467 · 10th to 90th $2,630 to $6,457
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 $3,548.13 Median $5,011.87 Typical High $7,244.36 | Facility | None | $3,548.13 | $5,011.87 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $3,548.13 Typical High $3,548.13 | Professional | None | $2,089.30 | $3,548.13 | $3,548.13 |
Cigna Setting Facility Modifier None Typical Low $5,754.40 Median $7,244.36 Typical High $8,128.31 | Facility | None | $5,754.40 | $7,244.36 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $4,466.84 Median $5,011.87 Typical High $6,309.57 | Professional | None | $4,466.84 | $5,011.87 | $6,309.57 |
Hally Health Setting Professional Modifier None Typical Low $2,137.96 Median $3,388.44 Typical High $4,073.80 | Professional | None | $2,137.96 | $3,388.44 | $4,073.80 |
Medica Setting Facility Modifier None Typical Low $1,412.54 Median $5,011.87 Typical High $8,511.38 | Facility | None | $1,412.54 | $5,011.87 | $8,511.38 |
Medica Setting Professional Modifier None Typical Low $2,630.27 Median $5,011.87 Typical High $21,379.62 | Professional | None | $2,630.27 | $5,011.87 | $21,379.62 |
Midlands Setting Professional Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $6,165.95 | Professional | None | $4,265.80 | $5,011.87 | $6,165.95 |
Midlands Setting Facility Modifier None Typical Low $5,754.40 Median $7,244.36 Typical High $8,128.31 | Facility | None | $5,754.40 | $7,244.36 | $8,128.31 |
Midlands Setting Professional Modifier None Typical Low $4,570.88 Median $4,897.79 Typical High $7,943.28 | Professional | None | $4,570.88 | $4,897.79 | $7,943.28 |
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 $2,344.23 Median $3,548.13 Typical High $6,456.54 | Professional | None | $2,344.23 | $3,548.13 | $6,456.54 |
Wellmark Setting Professional Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $4,897.79 | Professional | None | $4,168.69 | $4,168.69 | $4,897.79 |
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 $1,047.13 Median $1,778.28 Typical High $1,778.28 | Professional | 52 · Reduced service | $1,047.13 | $1,778.28 | $1,778.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $724.44 Typical High $724.44 | Professional | 53 · Discontinued | $416.87 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,548.82 Median $2,691.53 Typical High $2,691.53 | Professional | 54 · Surgery only | $1,548.82 | $2,691.53 | $2,691.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $537.03 Typical High $537.03 | Professional | 55 · Aftercare only | $309.03 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $354.81 Typical High $354.81 | Professional | 56 · Pre-op care only | $208.93 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $2,511.89 Typical High $2,511.89 | Professional | 78 · Unplanned return to OR | $1,445.44 | $2,511.89 | $2,511.89 |
Where Iowa sits
The same service costs 21.9 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
$4,571
AK $9,333TX $427
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.