How much rates vary
Facilitymedian $5,754 · 10th to 90th $1,288 to $15,136Professionalmedian $1,413 · 10th to 90th $832 to $2,089
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 $1,174.90 Median $5,011.87 Typical High $7,244.36 | Facility | None | $1,174.90 | $5,011.87 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $1,174.90 Typical High $1,174.90 | Professional | None | $676.08 | $1,174.90 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $8,128.31 Typical High $10,232.93 | Facility | None | $1,288.25 | $8,128.31 | $10,232.93 |
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 $1,174.90 Typical High $2,089.30 | Professional | None | $676.08 | $1,174.90 | $2,089.30 |
Medica Setting Facility Modifier None Typical Low $1,122.02 Median $4,677.35 Typical High $17,378.01 | Facility | None | $1,122.02 | $4,677.35 | $17,378.01 |
Medica Setting Professional Modifier None Typical Low $831.76 Median $1,621.81 Typical High $5,495.41 | Professional | None | $831.76 | $1,621.81 | $5,495.41 |
Midlands Setting Professional Modifier None Typical Low $1,412.54 Median $1,659.59 Typical High $1,995.26 | Professional | None | $1,412.54 | $1,659.59 | $1,995.26 |
Midlands Setting Facility Modifier None Typical Low $4,073.80 Median $7,943.28 Typical High $10,232.93 | Facility | None | $4,073.80 | $7,943.28 | $10,232.93 |
Midlands Setting Professional Modifier None Typical Low $1,412.54 Median $1,621.81 Typical High $2,691.53 | Professional | None | $1,412.54 | $1,621.81 | $2,691.53 |
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 $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 $1,412.54 Median $1,412.54 Typical High $1,659.59 | Professional | None | $1,412.54 | $1,412.54 | $1,659.59 |
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 $117.49 Typical High $117.49 | Professional | 56 · Pre-op care only | $67.61 | $117.49 | $117.49 |
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 6.2 times more in Colorado than in Montana. 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 $14,513MT $2,350
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.