How much rates vary
Facilitymedian $5,248 · 10th to 90th $1,349 to $12,303Professionalmedian $2,884 · 10th to 90th $1,514 to $4,169
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 $2,344.23 Median $5,370.32 Typical High $7,943.28 | Facility | None | $2,344.23 | $5,370.32 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $1,348.96 Median $2,344.23 Typical High $2,344.23 | Professional | None | $1,348.96 | $2,344.23 | $2,344.23 |
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 $2,398.83 Median $3,388.44 Typical High $4,168.69 | Professional | None | $2,398.83 | $3,388.44 | $4,168.69 |
Hally Health Setting Professional Modifier None Typical Low $1,380.38 Median $1,445.44 Typical High $2,691.53 | Professional | None | $1,380.38 | $1,445.44 | $2,691.53 |
Medica Setting Facility Modifier None Typical Low $1,348.96 Median $3,630.78 Typical High $9,772.37 | Facility | None | $1,348.96 | $3,630.78 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $1,513.56 Median $2,951.21 Typical High $10,964.78 | Professional | None | $1,513.56 | $2,951.21 | $10,964.78 |
Midlands Setting Professional Modifier None Typical Low $2,884.03 Median $3,388.44 Typical High $4,073.80 | Professional | None | $2,884.03 | $3,388.44 | $4,073.80 |
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 $2,818.38 Median $3,019.95 Typical High $4,168.69 | Professional | None | $2,818.38 | $3,019.95 | $4,168.69 |
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 $1,258.93 Median $2,187.76 Typical High $4,073.80 | Professional | None | $1,258.93 | $2,187.76 | $4,073.80 |
Wellmark Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $3,388.44 | Professional | None | $2,818.38 | $2,818.38 | $3,388.44 |
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 $676.08 Median $1,174.90 Typical High $1,174.90 | Professional | 52 · Reduced service | $676.08 | $1,174.90 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $467.74 Typical High $467.74 | Professional | 53 · Discontinued | $275.42 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,778.28 Typical High $1,778.28 | Professional | 54 · Surgery only | $1,023.29 | $1,778.28 | $1,778.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $354.81 Typical High $354.81 | Professional | 55 · Aftercare only | $204.17 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $234.42 Typical High $234.42 | Professional | 56 · Pre-op care only | $134.90 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $1,659.59 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $954.99 | $1,659.59 | $1,659.59 |
Where Iowa sits
The same service costs 5.5 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 $15,938KY $2,890
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.