How much rates vary
Facilitymedian $3,631 · 10th to 90th $1,380 to $14,454Professionalmedian $3,020 · 10th to 90th $1,820 to $4,467
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 $2,511.89 Median $4,265.80 Typical High $7,244.36 | Facility | None | $2,511.89 | $4,265.80 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $2,511.89 Typical High $3,090.30 | Professional | None | $1,445.44 | $2,511.89 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $10,232.93 Median $12,882.50 Typical High $14,454.40 | Facility | None | $10,232.93 | $12,882.50 | $14,454.40 |
Cigna Setting Professional Modifier None Typical Low $3,090.30 Median $3,630.78 Typical High $4,365.16 | Professional | None | $3,090.30 | $3,630.78 | $4,365.16 |
Hally Health Setting Professional Modifier None Typical Low $1,479.11 Median $2,398.83 Typical High $4,168.69 | Professional | None | $1,479.11 | $2,398.83 | $4,168.69 |
Medica Setting Facility Modifier None Typical Low $1,122.02 Median $3,467.37 Typical High $5,754.40 | Facility | None | $1,122.02 | $3,467.37 | $5,754.40 |
Medica Setting Professional Modifier None Typical Low $1,819.70 Median $3,467.37 Typical High $11,748.98 | Professional | None | $1,819.70 | $3,467.37 | $11,748.98 |
Midlands Setting Professional Modifier None Typical Low $3,019.95 Median $3,630.78 Typical High $4,265.80 | Professional | None | $3,019.95 | $3,630.78 | $4,265.80 |
Midlands Setting Facility Modifier None Typical Low $10,232.93 Median $12,882.50 Typical High $14,454.40 | Facility | None | $10,232.93 | $12,882.50 | $14,454.40 |
Midlands Setting Professional Modifier None Typical Low $3,090.30 Median $3,467.37 Typical High $5,248.07 | Professional | None | $3,090.30 | $3,467.37 | $5,248.07 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,630.78 Typical High $33,884.42 | Facility | None | $1,258.93 | $3,630.78 | $33,884.42 |
United Setting Professional Modifier None Typical Low $1,584.89 Median $2,398.83 Typical High $4,365.16 | Professional | None | $1,584.89 | $2,398.83 | $4,365.16 |
Wellmark Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,548.13 | Professional | None | $3,019.95 | $3,019.95 | $3,548.13 |
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 $724.44 Median $1,230.27 Typical High $1,230.27 | Professional | 52 · Reduced service | $724.44 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $501.19 Typical High $501.19 | Professional | 53 · Discontinued | $288.40 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,071.52 Median $1,862.09 Typical High $1,862.09 | Professional | 54 · Surgery only | $1,071.52 | $1,862.09 | $1,862.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $371.54 Typical High $371.54 | Professional | 55 · Aftercare only | $213.80 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $251.19 Typical High $251.19 | Professional | 56 · Pre-op care only | $144.54 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,737.80 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $1,000.00 | $1,737.80 | $1,737.80 |
Where Iowa sits
The same service costs 6.3 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.
Physician feeFacility fee
AK $16,928TX $2,675
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.