How much rates vary
Facilitymedian $1,622 · 10th to 90th $661 to $5,754Professionalmedian $646 · 10th to 90th $363 to $912
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 $512.86 Median $4,168.69 Typical High $7,244.36 | Facility | None | $512.86 | $4,168.69 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $457.09 Typical High $588.84 | Professional | None | $288.40 | $457.09 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $1,479.11 Typical High $1,698.24 | Facility | None | $1,096.48 | $1,479.11 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $724.44 Typical High $812.83 | Professional | None | $630.96 | $724.44 | $812.83 |
Hally Health Setting Professional Modifier None Typical Low $263.03 Median $457.09 Typical High $691.83 | Professional | None | $263.03 | $457.09 | $691.83 |
Medica Setting Facility Modifier None Typical Low $575.44 Median $1,096.48 Typical High $5,248.07 | Facility | None | $575.44 | $1,096.48 | $5,248.07 |
Medica Setting Professional Modifier None Typical Low $398.11 Median $741.31 Typical High $3,090.30 | Professional | None | $398.11 | $741.31 | $3,090.30 |
Midlands Setting Professional Modifier None Typical Low $549.54 Median $645.65 Typical High $758.58 | Professional | None | $549.54 | $645.65 | $758.58 |
Midlands Setting Facility Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $1,819.70 | Facility | None | $1,096.48 | $1,513.56 | $1,819.70 |
Midlands Setting Professional Modifier None Typical Low $575.44 Median $758.58 Typical High $870.96 | Professional | None | $575.44 | $758.58 | $870.96 |
Oscar Health Setting Professional Modifier None Typical Low $281.84 Median $524.81 Typical High $691.83 | Professional | None | $281.84 | $524.81 | $691.83 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,235.94 Typical High $6,309.57 | Facility | None | $1,258.93 | $3,235.94 | $6,309.57 |
United Setting Professional Modifier None Typical Low $302.00 Median $457.09 Typical High $851.14 | Professional | None | $302.00 | $457.09 | $851.14 |
Wellmark Setting Professional Modifier None Typical Low $549.54 Median $645.65 Typical High $794.33 | Professional | None | $549.54 | $645.65 | $794.33 |
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 $144.54 Median $229.09 Typical High $257.04 | Professional | 52 · Reduced service | $144.54 | $229.09 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $91.20 Typical High $102.33 | Professional | 53 · Discontinued | $57.54 | $91.20 | $102.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $338.84 Typical High $380.19 | Professional | 54 · Surgery only | $213.80 | $338.84 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $67.61 Typical High $75.86 | Professional | 55 · Aftercare only | $42.66 | $67.61 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $45.71 Typical High $51.29 | Professional | 56 · Pre-op care only | $28.84 | $45.71 | $51.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $199.53 Median $316.23 Typical High $354.81 | Professional | 78 · Unplanned return to OR | $199.53 | $316.23 | $354.81 |
Where Iowa sits
The same service costs 6.8 times more in Alaska than in Utah. 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· 4th of 51
$661
AK $1,288UT $191
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.