How much rates vary
Facilitymedian $4,266 · 10th to 90th $1,202 to $21,878Professionalmedian $2,188 · 10th to 90th $1,259 to $3,162
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 $1,778.28 Median $3,548.13 Typical High $6,760.83 | Facility | None | $1,778.28 | $3,548.13 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,778.28 Typical High $2,344.23 | Professional | None | $1,047.13 | $1,778.28 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $14,791.08 Typical High $17,378.01 | Facility | None | $954.99 | $14,791.08 | $17,378.01 |
Cigna Setting Professional Modifier None Typical Low $1,862.09 Median $2,570.40 Typical High $3,090.30 | Professional | None | $1,862.09 | $2,570.40 | $3,090.30 |
Hally Health Setting Professional Modifier None Typical Low $1,047.13 Median $1,202.26 Typical High $2,344.23 | Professional | None | $1,047.13 | $1,202.26 | $2,344.23 |
Medica Setting Facility Modifier None Typical Low $1,202.26 Median $3,235.94 Typical High $26,302.68 | Facility | None | $1,202.26 | $3,235.94 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $1,288.25 Median $2,398.83 Typical High $8,511.38 | Professional | None | $1,288.25 | $2,398.83 | $8,511.38 |
Midlands Setting Professional Modifier None Typical Low $2,187.76 Median $2,570.40 Typical High $3,090.30 | Professional | None | $2,187.76 | $2,570.40 | $3,090.30 |
Midlands Setting Facility Modifier None Typical Low $2,290.87 Median $14,125.38 Typical High $17,378.01 | Facility | None | $2,290.87 | $14,125.38 | $17,378.01 |
Midlands Setting Professional Modifier None Typical Low $2,238.72 Median $2,511.89 Typical High $3,090.30 | Professional | None | $2,238.72 | $2,511.89 | $3,090.30 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $4,365.16 Typical High $33,884.42 | Facility | None | $1,380.38 | $4,365.16 | $33,884.42 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,778.28 Typical High $3,162.28 | Professional | None | $1,148.15 | $1,778.28 | $3,162.28 |
Wellmark Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,570.40 | Professional | None | $2,187.76 | $2,187.76 | $2,570.40 |
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 $524.81 Median $891.25 Typical High $891.25 | Professional | 52 · Reduced service | $524.81 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $354.81 Typical High $354.81 | Professional | 53 · Discontinued | $208.93 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $1,348.96 Typical High $1,348.96 | Professional | 54 · Surgery only | $776.25 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $269.15 Typical High $269.15 | Professional | 55 · Aftercare only | $154.88 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $177.83 Typical High $177.83 | Professional | 56 · Pre-op care only | $104.71 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $1,258.93 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $724.44 | $1,258.93 | $1,258.93 |
Where Iowa sits
The same service costs 6.9 times more in Alaska than in Hawaii. 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 $18,481HI $2,671
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.