How much rates vary
Facilitymedian $4,266 · 10th to 90th $1,259 to $14,791Professionalmedian $1,738 · 10th to 90th $933 to $2,399
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 $1,348.96 Median $4,265.80 Typical High $7,244.36 | Facility | None | $1,348.96 | $4,265.80 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $1,348.96 Typical High $1,348.96 | Professional | None | $776.25 | $1,348.96 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $8,511.38 Typical High $10,232.93 | Facility | None | $1,096.48 | $8,511.38 | $10,232.93 |
Cigna Setting Professional Modifier None Typical Low $1,548.82 Median $1,949.84 Typical High $2,398.83 | Professional | None | $1,548.82 | $1,949.84 | $2,398.83 |
Hally Health Setting Professional Modifier None Typical Low $776.25 Median $1,258.93 Typical High $2,398.83 | Professional | None | $776.25 | $1,258.93 | $2,398.83 |
Medica Setting Facility Modifier None Typical Low $1,258.93 Median $2,344.23 Typical High $17,378.01 | Facility | None | $1,258.93 | $2,344.23 | $17,378.01 |
Medica Setting Professional Modifier None Typical Low $933.25 Median $1,905.46 Typical High $6,456.54 | Professional | None | $933.25 | $1,905.46 | $6,456.54 |
Midlands Setting Professional Modifier None Typical Low $1,659.59 Median $1,819.70 Typical High $2,238.72 | Professional | None | $1,659.59 | $1,819.70 | $2,238.72 |
Midlands Setting Facility Modifier None Typical Low $1,995.26 Median $8,128.31 Typical High $10,232.93 | Facility | None | $1,995.26 | $8,128.31 | $10,232.93 |
Midlands Setting Professional Modifier None Typical Low $1,584.89 Median $2,041.74 Typical High $3,090.30 | Professional | None | $1,584.89 | $2,041.74 | $3,090.30 |
Oscar Health Setting Professional Modifier None Typical Low $831.76 Median $1,548.82 Typical High $1,949.84 | Professional | None | $831.76 | $1,548.82 | $1,949.84 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $4,365.16 Typical High $19,054.61 | Facility | None | $1,380.38 | $4,365.16 | $19,054.61 |
United Setting Professional Modifier None Typical Low $831.76 Median $1,258.93 Typical High $2,290.87 | Professional | None | $831.76 | $1,258.93 | $2,290.87 |
Wellmark Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,041.74 | Professional | None | $1,737.80 | $1,737.80 | $2,041.74 |
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 $389.05 Median $676.08 Typical High $676.08 | Professional | 52 · Reduced service | $389.05 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $269.15 Typical High $269.15 | Professional | 53 · Discontinued | $158.49 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $1,000.00 Typical High $1,000.00 | Professional | 54 · Surgery only | $588.84 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $204.17 Typical High $204.17 | Professional | 55 · Aftercare only | $117.49 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $134.90 Typical High $134.90 | Professional | 56 · Pre-op care only | $77.62 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $933.25 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $549.54 | $933.25 | $933.25 |
Where Iowa sits
The same service costs 7.6 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
$1,820
AK $3,548TX $468
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.