How much rates vary
Facilitymedian $4,074 · 10th to 90th $1,413 to $10,471Professionalmedian $1,514 · 10th to 90th $891 to $2,291
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 $1,230.27 Median $2,951.21 Typical High $6,760.83 | Facility | None | $1,230.27 | $2,951.21 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $1,230.27 Typical High $1,230.27 | Professional | None | $707.95 | $1,230.27 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $1,548.82 Median $1,737.80 Typical High $2,187.76 | Professional | None | $1,548.82 | $1,737.80 | $2,187.76 |
Hally Health Setting Professional Modifier None Typical Low $741.31 Median $1,202.26 Typical High $1,445.44 | Professional | None | $741.31 | $1,202.26 | $1,445.44 |
Medica Setting Facility Modifier None Typical Low $1,445.44 Median $2,238.72 Typical High $10,715.19 | Facility | None | $1,445.44 | $2,238.72 | $10,715.19 |
Medica Setting Professional Modifier None Typical Low $912.01 Median $1,737.80 Typical High $13,182.57 | Professional | None | $912.01 | $1,737.80 | $13,182.57 |
Midlands Setting Professional Modifier None Typical Low $1,445.44 Median $1,737.80 Typical High $2,187.76 | Professional | None | $1,445.44 | $1,737.80 | $2,187.76 |
Midlands Setting Professional Modifier None Typical Low $1,621.81 Median $1,698.24 Typical High $3,162.28 | Professional | None | $1,621.81 | $1,698.24 | $3,162.28 |
Oscar Health Setting Professional Modifier None Typical Low $724.44 Median $1,348.96 Typical High $1,698.24 | Professional | None | $724.44 | $1,348.96 | $1,698.24 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $5,370.32 Typical High $12,302.69 | Facility | None | $1,445.44 | $5,370.32 | $12,302.69 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,230.27 Typical High $2,187.76 | Professional | None | $812.83 | $1,230.27 | $2,187.76 |
Wellmark Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,698.24 | Professional | None | $1,445.44 | $1,445.44 | $1,698.24 |
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 $354.81 Median $616.60 Typical High $616.60 | Professional | 52 · Reduced service | $354.81 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $245.47 Typical High $245.47 | Professional | 53 · Discontinued | $141.25 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $912.01 Typical High $912.01 | Professional | 54 · Surgery only | $537.03 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $186.21 Typical High $186.21 | Professional | 55 · Aftercare only | $107.15 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $123.03 Typical High $123.03 | Professional | 56 · Pre-op care only | $70.79 | $123.03 | $123.03 |
Where Iowa sits
The same service costs 4.6 times more in Alaska than in Kentucky. 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.
Physician feeFacility fee
AK $9,843KY $2,122
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.