How much rates vary
Facilitymedian $2,089 · 10th to 90th $776 to $5,495Professionalmedian $1,445 · 10th to 90th $851 to $2,089
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 $1,148.15 Median $2,951.21 Typical High $6,760.83 | Facility | None | $1,148.15 | $2,951.21 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $1,148.15 Typical High $1,148.15 | Professional | None | $660.69 | $1,148.15 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $1,659.59 Typical High $1,819.70 | Facility | None | $1,318.26 | $1,659.59 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $1,445.44 Median $1,659.59 Typical High $1,995.26 | Professional | None | $1,445.44 | $1,659.59 | $1,995.26 |
Hally Health Setting Professional Modifier None Typical Low $676.08 Median $1,122.02 Typical High $2,041.74 | Professional | None | $676.08 | $1,122.02 | $2,041.74 |
Medica Setting Facility Modifier None Typical Low $724.44 Median $1,698.24 Typical High $4,677.35 | Facility | None | $724.44 | $1,698.24 | $4,677.35 |
Medica Setting Professional Modifier None Typical Low $851.14 Median $1,621.81 Typical High $5,370.32 | Professional | None | $851.14 | $1,621.81 | $5,370.32 |
Midlands Setting Professional Modifier None Typical Low $1,412.54 Median $1,659.59 Typical High $1,995.26 | Professional | None | $1,412.54 | $1,659.59 | $1,995.26 |
Midlands Setting Facility Modifier None Typical Low $1,318.26 Median $1,659.59 Typical High $1,819.70 | Facility | None | $1,318.26 | $1,659.59 | $1,819.70 |
Midlands Setting Professional Modifier None Typical Low $1,479.11 Median $1,659.59 Typical High $2,570.40 | Professional | None | $1,479.11 | $1,659.59 | $2,570.40 |
Oscar Health Setting Professional Modifier None Typical Low $724.44 Median $1,348.96 Typical High $1,698.24 | Professional | None | $724.44 | $1,348.96 | $1,698.24 |
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 $741.31 Median $1,122.02 Typical High $2,041.74 | Professional | None | $741.31 | $1,122.02 | $2,041.74 |
Wellmark Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,698.24 | Professional | None | $1,445.44 | $1,445.44 | $1,698.24 |
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 $331.13 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $331.13 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $131.83 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $851.14 Typical High $851.14 | Professional | 54 · Surgery only | $501.19 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $169.82 Typical High $169.82 | Professional | 55 · Aftercare only | $100.00 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $114.82 Typical High $114.82 | Professional | 56 · Pre-op care only | $66.07 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $794.33 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $467.74 | $794.33 | $794.33 |
Where Iowa sits
The same service costs 4.3 times more in Alaska than in Alabama. 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 $6,582AL $1,537
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.