How much rates vary
Facilitymedian $1,995 · 10th to 90th $955 to $5,248Professionalmedian $1,585 · 10th to 90th $851 to $2,138
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 $1,174.90 Median $3,548.13 Typical High $6,760.83 | Facility | None | $1,174.90 | $3,548.13 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $1,174.90 Typical High $1,174.90 | Professional | None | $691.83 | $1,174.90 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,445.44 Typical High $1,698.24 | Facility | None | $954.99 | $1,445.44 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $1,737.80 Typical High $2,089.30 | Professional | None | $1,479.11 | $1,737.80 | $2,089.30 |
Hally Health Setting Professional Modifier None Typical Low $707.95 Median $1,148.15 Typical High $2,089.30 | Professional | None | $707.95 | $1,148.15 | $2,089.30 |
Medica Setting Facility Modifier None Typical Low $954.99 Median $1,862.09 Typical High $4,897.79 | Facility | None | $954.99 | $1,862.09 | $4,897.79 |
Medica Setting Professional Modifier None Typical Low $851.14 Median $1,659.59 Typical High $5,623.41 | Professional | None | $851.14 | $1,659.59 | $5,623.41 |
Midlands Setting Professional Modifier None Typical Low $1,479.11 Median $1,737.80 Typical High $2,041.74 | Professional | None | $1,479.11 | $1,737.80 | $2,041.74 |
Midlands Setting Facility Modifier None Typical Low $954.99 Median $1,445.44 Typical High $1,698.24 | Facility | None | $954.99 | $1,445.44 | $1,698.24 |
Midlands Setting Professional Modifier None Typical Low $1,479.11 Median $1,819.70 Typical High $2,691.53 | Professional | None | $1,479.11 | $1,819.70 | $2,691.53 |
Oscar Health Setting Professional Modifier None Typical Low $776.25 Median $1,445.44 Typical High $1,819.70 | Professional | None | $776.25 | $1,445.44 | $1,819.70 |
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 $758.58 Median $1,148.15 Typical High $2,089.30 | Professional | None | $758.58 | $1,148.15 | $2,089.30 |
Wellmark Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,862.09 | Professional | None | $1,584.89 | $1,584.89 | $1,862.09 |
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 $346.74 Median $588.84 Typical High $588.84 | Professional | 52 · Reduced service | $346.74 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $239.88 Typical High $239.88 | Professional | 53 · Discontinued | $138.04 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $891.25 Typical High $891.25 | Professional | 54 · Surgery only | $512.86 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $177.83 Typical High $177.83 | Professional | 55 · Aftercare only | $102.33 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $117.49 Typical High $117.49 | Professional | 56 · Pre-op care only | $69.18 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $831.76 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $478.63 | $831.76 | $831.76 |
Where Iowa sits
The same service costs 3.6 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 $5,545AL $1,558
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.