How much rates vary
Facilitymedian $5,248 · 10th to 90th $1,950 to $12,303Professionalmedian $2,692 · 10th to 90th $1,585 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 $2,187.76 Median $5,370.32 Typical High $7,943.28 | Facility | None | $2,187.76 | $5,370.32 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $2,187.76 Typical High $2,187.76 | Professional | None | $1,258.93 | $2,187.76 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $7,079.46 Median $8,912.51 Typical High $9,772.37 | Facility | None | $7,079.46 | $8,912.51 | $9,772.37 |
Cigna Setting Professional Modifier None Typical Low $2,691.53 Median $3,162.28 Typical High $3,801.89 | Professional | None | $2,691.53 | $3,162.28 | $3,801.89 |
Hally Health Setting Professional Modifier None Typical Low $1,288.25 Median $2,041.74 Typical High $3,467.37 | Professional | None | $1,288.25 | $2,041.74 | $3,467.37 |
Medica Setting Facility Modifier None Typical Low $1,380.38 Median $3,388.44 Typical High $9,772.37 | Facility | None | $1,380.38 | $3,388.44 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $1,584.89 Median $2,951.21 Typical High $10,715.19 | Professional | None | $1,584.89 | $2,951.21 | $10,715.19 |
Midlands Setting Professional Modifier None Typical Low $2,691.53 Median $3,162.28 Typical High $3,630.78 | Professional | None | $2,691.53 | $3,162.28 | $3,630.78 |
Midlands Setting Facility Modifier None Typical Low $7,079.46 Median $8,912.51 Typical High $9,772.37 | Facility | None | $7,079.46 | $8,912.51 | $9,772.37 |
Midlands Setting Professional Modifier None Typical Low $2,454.71 Median $3,019.95 Typical High $4,466.84 | Professional | None | $2,454.71 | $3,019.95 | $4,466.84 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $6,309.57 Typical High $19,054.61 | Facility | None | $1,819.70 | $6,309.57 | $19,054.61 |
United Setting Professional Modifier None Typical Low $1,380.38 Median $2,137.96 Typical High $3,801.89 | Professional | None | $1,380.38 | $2,137.96 | $3,801.89 |
Wellmark Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $3,090.30 | Professional | None | $2,630.27 | $2,630.27 | $3,090.30 |
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 $630.96 Median $1,096.48 Typical High $1,096.48 | Professional | 52 · Reduced service | $630.96 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $436.52 Typical High $436.52 | Professional | 53 · Discontinued | $251.19 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $1,621.81 Typical High $1,621.81 | Professional | 54 · Surgery only | $954.99 | $1,621.81 | $1,621.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $331.13 Typical High $331.13 | Professional | 55 · Aftercare only | $190.55 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $218.78 Typical High $218.78 | Professional | 56 · Pre-op care only | $125.89 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $1,513.56 Typical High $1,513.56 | Professional | 78 · Unplanned return to OR | $891.25 | $1,513.56 | $1,513.56 |
Where Iowa sits
The same service costs 18.6 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
$2,884
AK $5,623TX $302
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.