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 $3,388.44 Median $6,165.95 Typical High $9,332.54 | Facility | None | $3,388.44 | $6,165.95 | $9,332.54 |
Aetna Setting Professional Modifier None Typical Low $1,949.84 Median $3,388.44 Typical High $3,388.44 | Professional | None | $1,949.84 | $3,388.44 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $5,495.41 Median $7,079.46 Typical High $7,762.47 | Facility | None | $5,495.41 | $7,079.46 | $7,762.47 |
Cigna Setting Professional Modifier None Typical Low $3,715.35 Median $4,786.30 Typical High $6,025.60 | Professional | None | $3,715.35 | $4,786.30 | $6,025.60 |
Hally Health Setting Professional Modifier None Typical Low $2,041.74 Median $2,570.40 Typical High $4,786.30 | Professional | None | $2,041.74 | $2,570.40 | $4,786.30 |
Medica Setting Facility Modifier None Typical Low $2,238.72 Median $4,677.35 Typical High $9,772.37 | Facility | None | $2,238.72 | $4,677.35 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $2,344.23 Median $4,677.35 Typical High $15,848.93 | Professional | None | $2,344.23 | $4,677.35 | $15,848.93 |
Midlands Setting Professional Modifier None Typical Low $4,073.80 Median $4,365.16 Typical High $5,495.41 | Professional | None | $4,073.80 | $4,365.16 | $5,495.41 |
Midlands Setting Facility Modifier None Typical Low $5,495.41 Median $7,079.46 Typical High $7,762.47 | Facility | None | $5,495.41 | $7,079.46 | $7,762.47 |
Midlands Setting Professional Modifier None Typical Low $3,981.07 Median $5,011.87 Typical High $9,549.93 | Professional | None | $3,981.07 | $5,011.87 | $9,549.93 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $6,309.57 Typical High $19,054.61 | Facility | None | $1,819.70 | $6,309.57 | $19,054.61 |
United Setting Professional Modifier None Typical Low $2,187.76 Median $3,162.28 Typical High $5,888.44 | Professional | None | $2,187.76 | $3,162.28 | $5,888.44 |
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 $1,445.44 Median $2,570.40 Typical High $2,570.40 | Professional | 54 · Surgery only | $1,445.44 | $2,570.40 | $2,570.40 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,348.96 Median $2,398.83 Typical High $2,398.83 | Professional | 78 · Unplanned return to OR | $1,348.96 | $2,398.83 | $2,398.83 |
Where Iowa sits
The same service costs 9.1 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· 4th of 51
$4,677
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.