How much rates vary
Facilitymedian $5,888 · 10th to 90th $1,778 to $26,303Professionalmedian $2,455 · 10th to 90th $1,413 to $3,548
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 $1,995.26 Median $5,011.87 Typical High $7,244.36 | Facility | None | $1,995.26 | $5,011.87 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,995.26 Typical High $3,019.95 | Professional | None | $1,148.15 | $1,995.26 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $16,595.87 Typical High $21,379.62 | Facility | None | $1,288.25 | $16,595.87 | $21,379.62 |
Cigna Setting Professional Modifier None Typical Low $2,398.83 Median $2,884.03 Typical High $3,467.37 | Professional | None | $2,398.83 | $2,884.03 | $3,467.37 |
Hally Health Setting Professional Modifier None Typical Low $1,174.90 Median $1,862.09 Typical High $3,162.28 | Professional | None | $1,174.90 | $1,862.09 | $3,162.28 |
Medica Setting Facility Modifier None Typical Low $1,778.28 Median $4,677.35 Typical High $26,302.68 | Facility | None | $1,778.28 | $4,677.35 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $1,412.54 Median $2,691.53 Typical High $9,332.54 | Professional | None | $1,412.54 | $2,691.53 | $9,332.54 |
Midlands Setting Professional Modifier None Typical Low $2,454.71 Median $2,818.38 Typical High $3,388.44 | Professional | None | $2,454.71 | $2,818.38 | $3,388.44 |
Midlands Setting Facility Modifier None Typical Low $5,754.40 Median $15,848.93 Typical High $20,892.96 | Facility | None | $5,754.40 | $15,848.93 | $20,892.96 |
Midlands Setting Professional Modifier None Typical Low $2,398.83 Median $2,818.38 Typical High $4,073.80 | Professional | None | $2,398.83 | $2,818.38 | $4,073.80 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $6,309.57 Typical High $33,884.42 | Facility | None | $1,819.70 | $6,309.57 | $33,884.42 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $1,905.46 Typical High $3,467.37 | Professional | None | $1,230.27 | $1,905.46 | $3,467.37 |
Wellmark Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,884.03 | Professional | None | $2,454.71 | $2,454.71 | $2,884.03 |
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 $575.44 Median $1,000.00 Typical High $1,000.00 | Professional | 52 · Reduced service | $575.44 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $398.11 Typical High $398.11 | Professional | 53 · Discontinued | $229.09 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $1,479.11 Typical High $1,479.11 | Professional | 54 · Surgery only | $870.96 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $295.12 Typical High $295.12 | Professional | 55 · Aftercare only | $173.78 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $199.53 Typical High $199.53 | Professional | 56 · Pre-op care only | $114.82 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $1,380.38 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $812.83 | $1,380.38 | $1,380.38 |
Where Iowa sits
The same service costs 7.6 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
$2,692
AK $5,129TX $676
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.