How much rates vary
Facilitymedian $1,175 · 10th to 90th $457 to $3,981Professionalmedian $912 · 10th to 90th $490 to $1,288
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 $691.83 Median $2,630.27 Typical High $6,760.83 | Facility | None | $691.83 | $2,630.27 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $691.83 Typical High $758.58 | Professional | None | $426.58 | $691.83 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $1,445.44 Typical High $1,698.24 | Facility | None | $114.82 | $1,445.44 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $1,023.29 Typical High $1,202.26 | Professional | None | $758.58 | $1,023.29 | $1,202.26 |
Hally Health Setting Professional Modifier None Typical Low $398.11 Median $660.69 Typical High $891.25 | Professional | None | $398.11 | $660.69 | $891.25 |
Medica Setting Facility Modifier None Typical Low $562.34 Median $1,096.48 Typical High $3,548.13 | Facility | None | $562.34 | $1,096.48 | $3,548.13 |
Medica Setting Professional Modifier None Typical Low $524.81 Median $1,000.00 Typical High $3,548.13 | Professional | None | $524.81 | $1,000.00 | $3,548.13 |
Midlands Setting Professional Modifier None Typical Low $794.33 Median $933.25 Typical High $1,202.26 | Professional | None | $794.33 | $933.25 | $1,202.26 |
Midlands Setting Facility Modifier None Typical Low $123.03 Median $1,412.54 Typical High $1,698.24 | Facility | None | $123.03 | $1,412.54 | $1,698.24 |
Midlands Setting Professional Modifier None Typical Low $776.25 Median $1,202.26 Typical High $1,318.26 | Professional | None | $776.25 | $1,202.26 | $1,318.26 |
Oscar Health Setting Professional Modifier None Typical Low $457.09 Median $831.76 Typical High $1,122.02 | Professional | None | $457.09 | $831.76 | $1,122.02 |
United Setting Facility Modifier None Typical Low $223.87 Median $1,148.15 Typical High $4,265.80 | Facility | None | $223.87 | $1,148.15 | $4,265.80 |
United Setting Professional Modifier None Typical Low $416.87 Median $645.65 Typical High $1,202.26 | Professional | None | $416.87 | $645.65 | $1,202.26 |
Wellmark Setting Professional Modifier None Typical Low $891.25 Median $1,047.13 Typical High $1,288.25 | Professional | None | $891.25 | $1,047.13 | $1,288.25 |
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 $213.80 Median $346.74 Typical High $380.19 | Professional | 52 · Reduced service | $213.80 | $346.74 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $138.04 Typical High $151.36 | Professional | 53 · Discontinued | $85.11 | $138.04 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $512.86 Typical High $562.34 | Professional | 54 · Surgery only | $323.59 | $512.86 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $102.33 Typical High $114.82 | Professional | 55 · Aftercare only | $64.57 | $102.33 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $69.18 Typical High $75.86 | Professional | 56 · Pre-op care only | $42.66 | $69.18 | $75.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $478.63 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $302.00 | $478.63 | $524.81 |
Where Iowa sits
The same service costs 5.3 times more in Colorado than in Florida. 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
CO $4,377FL $831
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.