How much rates vary
Facilitymedian $7,762 · 10th to 90th $2,291 to $33,884Professionalmedian $3,548 · 10th to 90th $2,042 to $5,012
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 $2,754.23 Median $6,760.83 Typical High $10,471.29 | Facility | None | $2,754.23 | $6,760.83 | $10,471.29 |
Aetna Setting Professional Modifier None Typical Low $1,584.89 Median $2,754.23 Typical High $2,754.23 | Professional | None | $1,584.89 | $2,754.23 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $13,489.63 Median $21,877.62 Typical High $25,118.86 | Facility | None | $13,489.63 | $21,877.62 | $25,118.86 |
Cigna Setting Professional Modifier None Typical Low $3,467.37 Median $3,890.45 Typical High $4,897.79 | Professional | None | $3,467.37 | $3,890.45 | $4,897.79 |
Hally Health Setting Professional Modifier None Typical Low $1,621.81 Median $2,137.96 Typical High $5,128.61 | Professional | None | $1,621.81 | $2,137.96 | $5,128.61 |
Medica Setting Facility Modifier None Typical Low $2,089.30 Median $6,025.60 Typical High $38,904.51 | Facility | None | $2,089.30 | $6,025.60 | $38,904.51 |
Medica Setting Professional Modifier None Typical Low $2,041.74 Median $3,890.45 Typical High $12,882.50 | Professional | None | $2,041.74 | $3,890.45 | $12,882.50 |
Midlands Setting Professional Modifier None Typical Low $3,311.31 Median $3,890.45 Typical High $4,786.30 | Professional | None | $3,311.31 | $3,890.45 | $4,786.30 |
Midlands Setting Facility Modifier None Typical Low $13,489.63 Median $20,892.96 Typical High $25,118.86 | Facility | None | $13,489.63 | $20,892.96 | $25,118.86 |
Midlands Setting Professional Modifier None Typical Low $3,388.44 Median $3,801.89 Typical High $6,606.93 | Professional | None | $3,388.44 | $3,801.89 | $6,606.93 |
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 $1,778.28 Median $2,691.53 Typical High $4,897.79 | Professional | None | $1,778.28 | $2,691.53 | $4,897.79 |
Wellmark Setting Professional Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,890.45 | Professional | None | $3,311.31 | $3,311.31 | $3,890.45 |
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 $794.33 Median $1,380.38 Typical High $1,380.38 | Professional | 52 · Reduced service | $794.33 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $549.54 Typical High $549.54 | Professional | 53 · Discontinued | $316.23 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,202.26 Median $2,089.30 Typical High $2,089.30 | Professional | 54 · Surgery only | $1,202.26 | $2,089.30 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $416.87 Typical High $416.87 | Professional | 55 · Aftercare only | $239.88 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $275.42 Typical High $275.42 | Professional | 56 · Pre-op care only | $158.49 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,122.02 Median $1,949.84 Typical High $1,949.84 | Professional | 78 · Unplanned return to OR | $1,122.02 | $1,949.84 | $1,949.84 |
Where Iowa sits
The same service costs 7.8 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 $31,233KY $3,989
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.