How much rates vary
Facilitymedian $3,981 · 10th to 90th $1,380 to $12,303Professionalmedian $1,698 · 10th to 90th $891 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 $1,202.26 Median $5,888.44 Typical High $7,943.28 | Facility | None | $1,202.26 | $5,888.44 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $1,202.26 Typical High $1,698.24 | Professional | None | $691.83 | $1,202.26 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $3,090.30 Typical High $3,467.37 | Facility | None | $2,454.71 | $3,090.30 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $1,737.80 Typical High $2,137.96 | Professional | None | $1,513.56 | $1,737.80 | $2,137.96 |
Hally Health Setting Professional Modifier None Typical Low $724.44 Median $1,202.26 Typical High $2,089.30 | Professional | None | $724.44 | $1,202.26 | $2,089.30 |
Medica Setting Facility Modifier None Typical Low $1,122.02 Median $2,238.72 Typical High $11,748.98 | Facility | None | $1,122.02 | $2,238.72 | $11,748.98 |
Medica Setting Professional Modifier None Typical Low $891.25 Median $1,698.24 Typical High $5,754.40 | Professional | None | $891.25 | $1,698.24 | $5,754.40 |
Midlands Setting Professional Modifier None Typical Low $1,479.11 Median $1,737.80 Typical High $2,137.96 | Professional | None | $1,479.11 | $1,737.80 | $2,137.96 |
Midlands Setting Facility Modifier None Typical Low $2,454.71 Median $3,090.30 Typical High $3,467.37 | Facility | None | $2,454.71 | $3,090.30 | $3,467.37 |
Midlands Setting Professional Modifier None Typical Low $1,584.89 Median $1,698.24 Typical High $2,691.53 | Professional | None | $1,584.89 | $1,698.24 | $2,691.53 |
United Setting Facility Modifier None Typical Low $2,630.27 Median $6,918.31 Typical High $13,803.84 | Facility | None | $2,630.27 | $6,918.31 | $13,803.84 |
United Setting Professional Modifier None Typical Low $794.33 Median $1,202.26 Typical High $2,137.96 | Professional | None | $794.33 | $1,202.26 | $2,137.96 |
Wellmark Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,778.28 | Professional | None | $1,513.56 | $1,513.56 | $1,778.28 |
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 $602.56 Typical High $602.56 | Professional | 52 · Reduced service | $346.74 | $602.56 | $602.56 |
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 $120.23 Typical High $120.23 | Professional | 56 · Pre-op care only | $69.18 | $120.23 | $120.23 |
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 4.3 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.
Physician feeFacility fee
AK $9,769TX $2,271
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.