How much rates vary
Facilitymedian $2,818 · 10th to 90th $1,047 to $7,244Professionalmedian $2,692 · 10th to 90th $1,413 to $3,631
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 $4,265.80 Typical High $7,244.36 | Facility | None | $2,238.72 | $4,265.80 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $2,238.72 Typical High $3,388.44 | Professional | None | $1,288.25 | $2,238.72 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $1,995.26 Typical High $2,454.71 | Facility | None | $1,096.48 | $1,995.26 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $2,187.76 Median $3,090.30 Typical High $3,467.37 | Professional | None | $2,187.76 | $3,090.30 | $3,467.37 |
Hally Health Setting Professional Modifier None Typical Low $1,318.26 Median $1,479.11 Typical High $2,511.89 | Professional | None | $1,318.26 | $1,479.11 | $2,511.89 |
Medica Setting Facility Modifier None Typical Low $1,047.13 Median $2,754.23 Typical High $7,244.36 | Facility | None | $1,047.13 | $2,754.23 | $7,244.36 |
Medica Setting Professional Modifier None Typical Low $1,380.38 Median $2,754.23 Typical High $10,964.78 | Professional | None | $1,380.38 | $2,754.23 | $10,964.78 |
Midlands Setting Professional Modifier None Typical Low $2,630.27 Median $3,019.95 Typical High $3,467.37 | Professional | None | $2,630.27 | $3,019.95 | $3,467.37 |
Midlands Setting Facility Modifier None Typical Low $1,202.26 Median $1,995.26 Typical High $2,454.71 | Facility | None | $1,202.26 | $1,995.26 | $2,454.71 |
Midlands Setting Professional Modifier None Typical Low $2,570.40 Median $3,090.30 Typical High $3,467.37 | Professional | None | $2,570.40 | $3,090.30 | $3,467.37 |
United Setting Facility Modifier None Typical Low $724.44 Median $3,090.30 Typical High $7,762.47 | Facility | None | $724.44 | $3,090.30 | $7,762.47 |
United Setting Professional Modifier None Typical Low $1,258.93 Median $1,995.26 Typical High $3,548.13 | Professional | None | $1,258.93 | $1,995.26 | $3,548.13 |
Wellmark Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $3,162.28 | Professional | None | $2,691.53 | $2,691.53 | $3,162.28 |
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 3.7 times more in Alaska than in Delaware. 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 $8,917DE $2,410
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.