How much rates vary
Facilitymedian $3,467 · 10th to 90th $1,380 to $10,471Professionalmedian $2,512 · 10th to 90th $1,445 to $3,631
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 $1,995.26 Median $4,265.80 Typical High $7,244.36 | Facility | None | $1,995.26 | $4,265.80 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,148.15 | $1,995.26 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $7,413.10 Median $9,549.93 Typical High $10,471.29 | Facility | None | $7,413.10 | $9,549.93 | $10,471.29 |
Cigna Setting Professional Modifier None Typical Low $2,454.71 Median $2,884.03 Typical High $3,235.94 | Professional | None | $2,454.71 | $2,884.03 | $3,235.94 |
Hally Health Setting Professional Modifier None Typical Low $1,174.90 Median $1,513.56 Typical High $3,715.35 | Professional | None | $1,174.90 | $1,513.56 | $3,715.35 |
Medica Setting Facility Modifier None Typical Low $1,122.02 Median $2,818.38 Typical High $6,025.60 | Facility | None | $1,122.02 | $2,818.38 | $6,025.60 |
Medica Setting Professional Modifier None Typical Low $1,445.44 Median $2,818.38 Typical High $9,332.54 | Professional | None | $1,445.44 | $2,818.38 | $9,332.54 |
Midlands Setting Professional Modifier None Typical Low $2,454.71 Median $2,884.03 Typical High $3,235.94 | Professional | None | $2,454.71 | $2,884.03 | $3,235.94 |
Midlands Setting Facility Modifier None Typical Low $7,413.10 Median $9,549.93 Typical High $10,471.29 | Facility | None | $7,413.10 | $9,549.93 | $10,471.29 |
Midlands Setting Professional Modifier None Typical Low $2,511.89 Median $2,754.23 Typical High $4,786.30 | Professional | None | $2,511.89 | $2,754.23 | $4,786.30 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,630.78 Typical High $19,054.61 | Facility | None | $1,258.93 | $3,630.78 | $19,054.61 |
United Setting Professional Modifier None Typical Low $1,258.93 Median $1,905.46 Typical High $3,548.13 | Professional | None | $1,258.93 | $1,905.46 | $3,548.13 |
Wellmark Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,818.38 | Professional | None | $2,398.83 | $2,398.83 | $2,818.38 |
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 $575.44 Median $1,000.00 Typical High $1,000.00 | Professional | 52 · Reduced service | $575.44 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $398.11 Typical High $398.11 | Professional | 53 · Discontinued | $229.09 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $1,479.11 Typical High $1,479.11 | Professional | 54 · Surgery only | $870.96 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $295.12 Typical High $295.12 | Professional | 55 · Aftercare only | $173.78 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $199.53 Typical High $199.53 | Professional | 56 · Pre-op care only | $114.82 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $1,380.38 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $812.83 | $1,380.38 | $1,380.38 |
Where Iowa sits
The same service costs 6.1 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.
Physician feeFacility fee
AK $14,041TX $2,290
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.