How much rates vary
Facilitymedian $4,074 · 10th to 90th $1,479 to $8,511Professionalmedian $2,951 · 10th to 90th $1,698 to $4,266
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 $2,398.83 Median $5,011.87 Typical High $7,244.36 | Facility | None | $2,398.83 | $5,011.87 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $2,398.83 Typical High $2,398.83 | Professional | None | $1,412.54 | $2,398.83 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $3,162.28 Median $3,981.07 Typical High $4,365.16 | Facility | None | $3,162.28 | $3,981.07 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $2,951.21 Median $3,467.37 Typical High $4,265.80 | Professional | None | $2,951.21 | $3,467.37 | $4,265.80 |
Hally Health Setting Professional Modifier None Typical Low $1,412.54 Median $2,344.23 Typical High $4,073.80 | Professional | None | $1,412.54 | $2,344.23 | $4,073.80 |
Medica Setting Facility Modifier None Typical Low $1,318.26 Median $3,388.44 Typical High $7,079.46 | Facility | None | $1,318.26 | $3,388.44 | $7,079.46 |
Medica Setting Professional Modifier None Typical Low $1,737.80 Median $3,388.44 Typical High $11,220.18 | Professional | None | $1,737.80 | $3,388.44 | $11,220.18 |
Midlands Setting Professional Modifier None Typical Low $2,951.21 Median $3,467.37 Typical High $4,168.69 | Professional | None | $2,951.21 | $3,467.37 | $4,168.69 |
Midlands Setting Facility Modifier None Typical Low $3,162.28 Median $3,981.07 Typical High $4,365.16 | Facility | None | $3,162.28 | $3,981.07 | $4,365.16 |
Midlands Setting Professional Modifier None Typical Low $3,019.95 Median $3,388.44 Typical High $5,128.61 | Professional | None | $3,019.95 | $3,388.44 | $5,128.61 |
Oscar Health Setting Professional Modifier None Typical Low $1,445.44 Median $2,691.53 Typical High $3,388.44 | Professional | None | $1,445.44 | $2,691.53 | $3,388.44 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $4,365.16 Typical High $9,772.37 | Facility | None | $1,380.38 | $4,365.16 | $9,772.37 |
United Setting Professional Modifier None Typical Low $1,548.82 Median $2,344.23 Typical High $4,265.80 | Professional | None | $1,548.82 | $2,344.23 | $4,265.80 |
Wellmark Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $3,467.37 | Professional | None | $2,951.21 | $2,951.21 | $3,467.37 |
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 $691.83 Median $1,202.26 Typical High $1,202.26 | Professional | 52 · Reduced service | $691.83 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $478.63 Typical High $478.63 | Professional | 53 · Discontinued | $281.84 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,819.70 Typical High $1,819.70 | Professional | 54 · Surgery only | $1,047.13 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $363.08 Typical High $363.08 | Professional | 55 · Aftercare only | $208.93 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $239.88 Typical High $239.88 | Professional | 56 · Pre-op care only | $141.25 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $1,698.24 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $977.24 | $1,698.24 | $1,698.24 |
Where Iowa sits
The same service costs 16.2 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· 8th of 51
$3,020
AK $6,310TX $389
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.