How much rates vary
Facilitymedian $2,754 · 10th to 90th $1,047 to $5,888Professionalmedian $2,818 · 10th to 90th $1,549 to $3,981
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 $2,238.72 Median $5,370.32 Typical High $7,943.28 | Facility | None | $2,238.72 | $5,370.32 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $2,238.72 Typical High $2,238.72 | Professional | None | $1,288.25 | $2,238.72 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $1,445.44 Typical High $1,698.24 | Facility | None | $1,122.02 | $1,445.44 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $2,691.53 Median $3,090.30 Typical High $3,981.07 | Professional | None | $2,691.53 | $3,090.30 | $3,981.07 |
Hally Health Setting Professional Modifier None Typical Low $1,318.26 Median $2,089.30 Typical High $2,511.89 | Professional | None | $1,318.26 | $2,089.30 | $2,511.89 |
Medica Setting Facility Modifier None Typical Low $1,047.13 Median $2,951.21 Typical High $5,248.07 | Facility | None | $1,047.13 | $2,951.21 | $5,248.07 |
Medica Setting Professional Modifier None Typical Low $1,548.82 Median $3,019.95 Typical High $10,471.29 | Professional | None | $1,548.82 | $3,019.95 | $10,471.29 |
Midlands Setting Professional Modifier None Typical Low $2,630.27 Median $3,090.30 Typical High $3,548.13 | Professional | None | $2,630.27 | $3,090.30 | $3,548.13 |
Midlands Setting Facility Modifier None Typical Low $1,122.02 Median $1,412.54 Typical High $1,698.24 | Facility | None | $1,122.02 | $1,412.54 | $1,698.24 |
Midlands Setting Professional Modifier None Typical Low $2,454.71 Median $3,235.94 Typical High $4,570.88 | Professional | None | $2,454.71 | $3,235.94 | $4,570.88 |
United Setting Facility Modifier None Typical Low $724.44 Median $2,884.03 Typical High $5,495.41 | Facility | None | $724.44 | $2,884.03 | $5,495.41 |
United Setting Professional Modifier None Typical Low $1,412.54 Median $2,137.96 Typical High $3,801.89 | Professional | None | $1,412.54 | $2,137.96 | $3,801.89 |
Wellmark Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $3,311.31 | Professional | None | $2,818.38 | $2,818.38 | $3,311.31 |
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 $645.65 Median $1,122.02 Typical High $1,122.02 | Professional | 52 · Reduced service | $645.65 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $446.68 Typical High $446.68 | Professional | 53 · Discontinued | $257.04 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $977.24 Median $1,659.59 Typical High $1,659.59 | Professional | 54 · Surgery only | $977.24 | $1,659.59 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $331.13 Typical High $331.13 | Professional | 55 · Aftercare only | $194.98 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $223.87 Typical High $223.87 | Professional | 56 · Pre-op care only | $128.82 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $1,548.82 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $912.01 | $1,548.82 | $1,548.82 |
Where Iowa sits
The same service costs 17.0 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· 5th of 51
$2,818
AK $5,888TX $347
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.