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 $3,467.37 Median $6,165.95 Typical High $9,332.54 | Facility | None | $3,467.37 | $6,165.95 | $9,332.54 |
Aetna Setting Professional Modifier None Typical Low $1,995.26 Median $3,467.37 Typical High $3,467.37 | Professional | None | $1,995.26 | $3,467.37 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $17,378.01 Median $22,387.21 Typical High $24,547.09 | Facility | None | $17,378.01 | $22,387.21 | $24,547.09 |
Cigna Setting Professional Modifier None Typical Low $4,168.69 Median $4,897.79 Typical High $6,165.95 | Professional | None | $4,168.69 | $4,897.79 | $6,165.95 |
Hally Health Setting Professional Modifier None Typical Low $2,089.30 Median $2,630.27 Typical High $4,168.69 | Professional | None | $2,089.30 | $2,630.27 | $4,168.69 |
Medica Setting Facility Modifier None Typical Low $2,344.23 Median $5,370.32 Typical High $12,882.50 | Facility | None | $2,344.23 | $5,370.32 | $12,882.50 |
Medica Setting Professional Modifier None Typical Low $2,398.83 Median $4,786.30 Typical High $16,218.10 | Professional | None | $2,398.83 | $4,786.30 | $16,218.10 |
Midlands Setting Professional Modifier None Typical Low $4,168.69 Median $4,897.79 Typical High $5,623.41 | Professional | None | $4,168.69 | $4,897.79 | $5,623.41 |
Midlands Setting Facility Modifier None Typical Low $17,378.01 Median $22,387.21 Typical High $24,547.09 | Facility | None | $17,378.01 | $22,387.21 | $24,547.09 |
Midlands Setting Professional Modifier None Typical Low $3,890.45 Median $5,128.61 Typical High $7,762.47 | Professional | None | $3,890.45 | $5,128.61 | $7,762.47 |
United Setting Facility Modifier None Typical Low $2,630.27 Median $10,471.29 Typical High $46,773.51 | Facility | None | $2,630.27 | $10,471.29 | $46,773.51 |
United Setting Professional Modifier None Typical Low $2,187.76 Median $3,311.31 Typical High $6,025.60 | Professional | None | $2,187.76 | $3,311.31 | $6,025.60 |
Wellmark Setting Professional Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $5,495.41 | Professional | None | $4,677.35 | $4,677.35 | $5,495.41 |
2 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 54 · Surgery only Typical Low $1,479.11 Median $2,630.27 Typical High $2,630.27 | Professional | 54 · Surgery only | $1,479.11 | $2,630.27 | $2,630.27 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,380.38 Median $2,454.71 Typical High $2,454.71 | Professional | 78 · Unplanned return to OR | $1,380.38 | $2,454.71 | $2,454.71 |
Where Iowa sits
The same service costs 8.1 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· 6th of 51
$4,786
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.