How much rates vary
Facilitymedian $1,514 · 10th to 90th $417 to $4,266Professionalmedian $1,349 · 10th to 90th $776 to $1,905
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 $1,096.48 Median $2,951.21 Typical High $6,760.83 | Facility | None | $1,096.48 | $2,951.21 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $1,096.48 Typical High $1,096.48 | Professional | None | $630.96 | $1,096.48 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $1,445.44 Typical High $1,698.24 | Facility | None | $114.82 | $1,445.44 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,584.89 Typical High $1,905.46 | Professional | None | $1,318.26 | $1,584.89 | $1,905.46 |
Hally Health Setting Professional Modifier None Typical Low $645.65 Median $1,047.13 Typical High $1,819.70 | Professional | None | $645.65 | $1,047.13 | $1,819.70 |
Medica Setting Facility Modifier None Typical Low $489.78 Median $1,513.56 Typical High $3,890.45 | Facility | None | $489.78 | $1,513.56 | $3,890.45 |
Medica Setting Professional Modifier None Typical Low $776.25 Median $1,513.56 Typical High $5,128.61 | Professional | None | $776.25 | $1,513.56 | $5,128.61 |
Midlands Setting Professional Modifier None Typical Low $1,348.96 Median $1,548.82 Typical High $1,819.70 | Professional | None | $1,348.96 | $1,548.82 | $1,819.70 |
Midlands Setting Facility Modifier None Typical Low $123.03 Median $1,412.54 Typical High $1,698.24 | Facility | None | $123.03 | $1,412.54 | $1,698.24 |
Midlands Setting Professional Modifier None Typical Low $1,258.93 Median $1,584.89 Typical High $2,290.87 | Professional | None | $1,258.93 | $1,584.89 | $2,290.87 |
Oscar Health Setting Professional Modifier None Typical Low $660.69 Median $1,230.27 Typical High $1,548.82 | Professional | None | $660.69 | $1,230.27 | $1,548.82 |
United Setting Facility Modifier None Typical Low $223.87 Median $1,148.15 Typical High $4,265.80 | Facility | None | $223.87 | $1,148.15 | $4,265.80 |
United Setting Professional Modifier None Typical Low $676.08 Median $1,047.13 Typical High $1,905.46 | Professional | None | $676.08 | $1,047.13 | $1,905.46 |
Wellmark Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,621.81 | Professional | None | $1,348.96 | $1,348.96 | $1,621.81 |
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 $316.23 Median $549.54 Typical High $549.54 | Professional | 52 · Reduced service | $316.23 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $218.78 Typical High $218.78 | Professional | 53 · Discontinued | $128.82 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $831.76 Typical High $831.76 | Professional | 54 · Surgery only | $478.63 | $831.76 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $165.96 Typical High $165.96 | Professional | 55 · Aftercare only | $95.50 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $109.65 Typical High $109.65 | Professional | 56 · Pre-op care only | $63.10 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $776.25 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $446.68 | $776.25 | $776.25 |
Where Iowa sits
The same service costs 8.5 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
$1,349
AK $2,818TX $331
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.