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 $602.56 Median $2,951.21 Typical High $6,760.83 | Facility | None | $602.56 | $2,951.21 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $602.56 Typical High $602.56 | Professional | None | $354.81 | $602.56 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $891.25 Typical High $954.99 | Professional | None | $588.84 | $891.25 | $954.99 |
Hally Health Setting Professional Modifier None Typical Low $151.36 Median $1,548.82 Typical High $3,388.44 | Professional | None | $151.36 | $1,548.82 | $3,388.44 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $724.44 Typical High $1,621.81 | Facility | None | $158.49 | $724.44 | $1,621.81 |
Medica Setting Professional Modifier None Typical Low $426.58 Median $776.25 Typical High $3,981.07 | Professional | None | $426.58 | $776.25 | $3,981.07 |
Midlands Setting Professional Modifier None Typical Low $758.58 Median $870.96 Typical High $954.99 | Professional | None | $758.58 | $870.96 | $954.99 |
Midlands Setting Professional Modifier None Typical Low $691.83 Median $870.96 Typical High $7,413.10 | Professional | None | $691.83 | $870.96 | $7,413.10 |
United Setting Facility Modifier None Typical Low $158.49 Median $954.99 Typical High $1,995.26 | Facility | None | $158.49 | $954.99 | $1,995.26 |
United Setting Professional Modifier None Typical Low $389.05 Median $588.84 Typical High $1,071.52 | Professional | None | $389.05 | $588.84 | $1,071.52 |
Wellmark Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $851.14 | Professional | None | $724.44 | $724.44 | $851.14 |
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 $177.83 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $177.83 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $70.79 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $457.09 Typical High $457.09 | Professional | 54 · Surgery only | $263.03 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $91.20 Typical High $91.20 | Professional | 55 · Aftercare only | $52.48 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $60.26 Typical High $60.26 | Professional | 56 · Pre-op care only | $35.48 | $60.26 | $60.26 |
Where Iowa sits
The same service costs 4.6 times more in Alaska than in Florida. 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
$759
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.