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 $1,148.15 Median $4,265.80 Typical High $7,244.36 | Facility | None | $1,148.15 | $4,265.80 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $1,148.15 Typical High $1,148.15 | Professional | None | $676.08 | $1,148.15 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $2,884.03 Typical High $3,630.78 | Facility | None | $2,398.83 | $2,884.03 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $1,412.54 Median $1,698.24 Typical High $2,041.74 | Professional | None | $1,412.54 | $1,698.24 | $2,041.74 |
Hally Health Setting Professional Modifier None Typical Low $676.08 Median $1,096.48 Typical High $1,288.25 | Professional | None | $676.08 | $1,096.48 | $1,288.25 |
Medica Setting Facility Modifier None Typical Low $977.24 Median $2,511.89 Typical High $8,912.51 | Facility | None | $977.24 | $2,511.89 | $8,912.51 |
Medica Setting Professional Modifier None Typical Low $812.83 Median $1,548.82 Typical High $5,495.41 | Professional | None | $812.83 | $1,548.82 | $5,495.41 |
Midlands Setting Professional Modifier None Typical Low $1,445.44 Median $1,659.59 Typical High $1,949.84 | Professional | None | $1,445.44 | $1,659.59 | $1,949.84 |
Midlands Setting Facility Modifier None Typical Low $1,905.46 Median $3,019.95 Typical High $3,890.45 | Facility | None | $1,905.46 | $3,019.95 | $3,890.45 |
Midlands Setting Professional Modifier None Typical Low $1,348.96 Median $1,659.59 Typical High $2,344.23 | Professional | None | $1,348.96 | $1,659.59 | $2,344.23 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $4,897.79 Typical High $10,715.19 | Facility | None | $1,584.89 | $4,897.79 | $10,715.19 |
United Setting Professional Modifier None Typical Low $724.44 Median $1,096.48 Typical High $1,995.26 | Professional | None | $724.44 | $1,096.48 | $1,995.26 |
Wellmark Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,698.24 | Professional | None | $1,445.44 | $1,445.44 | $1,698.24 |
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 $338.84 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $338.84 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $234.42 Typical High $234.42 | Professional | 53 · Discontinued | $134.90 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $870.96 Typical High $870.96 | Professional | 54 · Surgery only | $501.19 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $173.78 Typical High $173.78 | Professional | 55 · Aftercare only | $102.33 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $114.82 Typical High $114.82 | Professional | 56 · Pre-op care only | $67.61 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $812.83 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $467.74 | $812.83 | $812.83 |
Where Iowa sits
The same service costs 7.8 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· 6th of 51
$1,585
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.