How much rates vary
Facilitymedian $4,365 · 10th to 90th $1,202 to $14,791Professionalmedian $1,479 · 10th to 90th $759 to $1,950
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 $1,096.48 Median $5,011.87 Typical High $7,244.36 | Facility | None | $1,096.48 | $5,011.87 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $1,096.48 Typical High $1,096.48 | Professional | None | $630.96 | $1,096.48 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $5,888.44 Typical High $7,244.36 | Facility | None | $1,288.25 | $5,888.44 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,584.89 Typical High $1,819.70 | Professional | None | $1,258.93 | $1,584.89 | $1,819.70 |
Hally Health Setting Professional Modifier None Typical Low $645.65 Median $1,047.13 Typical High $1,949.84 | Professional | None | $645.65 | $1,047.13 | $1,949.84 |
Medica Setting Facility Modifier None Typical Low $1,071.52 Median $2,344.23 Typical High $17,378.01 | Facility | None | $1,071.52 | $2,344.23 | $17,378.01 |
Medica Setting Professional Modifier None Typical Low $758.58 Median $1,548.82 Typical High $5,623.41 | Professional | None | $758.58 | $1,548.82 | $5,623.41 |
Midlands Setting Professional Modifier None Typical Low $1,348.96 Median $1,479.11 Typical High $1,819.70 | Professional | None | $1,348.96 | $1,479.11 | $1,819.70 |
Midlands Setting Facility Modifier None Typical Low $1,905.46 Median $5,888.44 Typical High $7,244.36 | Facility | None | $1,905.46 | $5,888.44 | $7,244.36 |
Midlands Setting Professional Modifier None Typical Low $1,288.25 Median $1,584.89 Typical High $2,511.89 | Professional | None | $1,288.25 | $1,584.89 | $2,511.89 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $4,365.16 Typical High $19,054.61 | Facility | None | $1,380.38 | $4,365.16 | $19,054.61 |
United Setting Professional Modifier None Typical Low $660.69 Median $1,000.00 Typical High $1,819.70 | Professional | None | $660.69 | $1,000.00 | $1,819.70 |
Wellmark Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,621.81 | Professional | None | $1,380.38 | $1,380.38 | $1,621.81 |
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 $316.23 Median $549.54 Typical High $549.54 | Professional | 52 · Reduced service | $316.23 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $218.78 Typical High $218.78 | Professional | 53 · Discontinued | $125.89 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $812.83 Typical High $812.83 | Professional | 54 · Surgery only | $478.63 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $165.96 Typical High $165.96 | Professional | 55 · Aftercare only | $95.50 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $109.65 Typical High $109.65 | Professional | 56 · Pre-op care only | $63.10 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $758.58 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $446.68 | $758.58 | $758.58 |
Where Iowa sits
The same service costs 4.8 times more in Alaska than in Montana. 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 $10,454MT $2,169
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.