How much rates vary
Facilitymedian $2,754 · 10th to 90th $977 to $7,762Professionalmedian $1,349 · 10th to 90th $692 to $1,820
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 $1,047.13 Median $4,265.80 Typical High $7,244.36 | Facility | None | $1,047.13 | $4,265.80 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $1,047.13 Typical High $1,047.13 | Professional | None | $616.60 | $1,047.13 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $2,630.27 Typical High $3,235.94 | Facility | None | $1,096.48 | $2,630.27 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,479.11 Typical High $1,862.09 | Professional | None | $1,174.90 | $1,479.11 | $1,862.09 |
Hally Health Setting Professional Modifier None Typical Low $602.56 Median $977.24 Typical High $1,905.46 | Professional | None | $602.56 | $977.24 | $1,905.46 |
Medica Setting Facility Modifier None Typical Low $977.24 Median $1,819.70 Typical High $7,943.28 | Facility | None | $977.24 | $1,819.70 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $724.44 Median $1,412.54 Typical High $5,011.87 | Professional | None | $724.44 | $1,412.54 | $5,011.87 |
Midlands Setting Professional Modifier None Typical Low $1,258.93 Median $1,380.38 Typical High $1,698.24 | Professional | None | $1,258.93 | $1,380.38 | $1,698.24 |
Midlands Setting Facility Modifier None Typical Low $1,122.02 Median $2,630.27 Typical High $3,235.94 | Facility | None | $1,122.02 | $2,630.27 | $3,235.94 |
Midlands Setting Professional Modifier None Typical Low $1,174.90 Median $1,584.89 Typical High $2,398.83 | Professional | None | $1,174.90 | $1,584.89 | $2,398.83 |
Oscar Health Setting Professional Modifier None Typical Low $645.65 Median $1,174.90 Typical High $1,479.11 | Professional | None | $645.65 | $1,174.90 | $1,479.11 |
United Setting Facility Modifier None Typical Low $724.44 Median $3,090.30 Typical High $8,709.64 | Facility | None | $724.44 | $3,090.30 | $8,709.64 |
United Setting Professional Modifier None Typical Low $630.96 Median $954.99 Typical High $1,778.28 | Professional | None | $630.96 | $954.99 | $1,778.28 |
Wellmark Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,584.89 | Professional | None | $1,348.96 | $1,348.96 | $1,584.89 |
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 $309.03 Median $524.81 Typical High $524.81 | Professional | 52 · Reduced service | $309.03 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $208.93 Typical High $208.93 | Professional | 53 · Discontinued | $123.03 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $776.25 Typical High $776.25 | Professional | 54 · Surgery only | $457.09 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $158.49 Typical High $158.49 | Professional | 55 · Aftercare only | $91.20 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $104.71 Typical High $104.71 | Professional | 56 · Pre-op care only | $61.66 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $724.44 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $426.58 | $724.44 | $724.44 |
Where Iowa sits
The same service costs 4.3 times more in Alaska than in West Virginia. 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 $6,645WV $1,559
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.