How much rates vary
Facilitymedian $1,349 · 10th to 90th $501 to $5,754Professionalmedian $708 · 10th to 90th $437 to $1,175
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 $602.56 Median $3,388.44 Typical High $6,760.83 | Facility | None | $602.56 | $3,388.44 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $457.09 Typical High $676.08 | Professional | None | $288.40 | $457.09 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $501.19 Typical High $645.65 | Facility | None | $416.87 | $501.19 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $776.25 Typical High $1,023.29 | Professional | None | $645.65 | $776.25 | $1,023.29 |
Hally Health Setting Professional Modifier None Typical Low $263.03 Median $575.44 Typical High $812.83 | Professional | None | $263.03 | $575.44 | $812.83 |
Medica Setting Facility Modifier None Typical Low $562.34 Median $1,071.52 Typical High $5,248.07 | Facility | None | $562.34 | $1,071.52 | $5,248.07 |
Medica Setting Professional Modifier None Typical Low $501.19 Median $851.14 Typical High $3,235.94 | Professional | None | $501.19 | $851.14 | $3,235.94 |
Midlands Setting Professional Modifier None Typical Low $549.54 Median $812.83 Typical High $1,023.29 | Professional | None | $549.54 | $812.83 | $1,023.29 |
Midlands Setting Facility Modifier None Typical Low $407.38 Median $478.63 Typical High $645.65 | Facility | None | $407.38 | $478.63 | $645.65 |
Midlands Setting Professional Modifier None Typical Low $549.54 Median $870.96 Typical High $1,174.90 | Professional | None | $549.54 | $870.96 | $1,174.90 |
Oscar Health Setting Professional Modifier None Typical Low $288.40 Median $537.03 Typical High $912.01 | Professional | None | $288.40 | $537.03 | $912.01 |
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 $323.59 Median $549.54 Typical High $1,047.13 | Professional | None | $323.59 | $549.54 | $1,047.13 |
Wellmark Setting Professional Modifier None Typical Low $562.34 Median $660.69 Typical High $1,047.13 | Professional | None | $562.34 | $660.69 | $1,047.13 |
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 $338.84 | Professional | 52 · Reduced service | $144.54 | $229.09 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $93.33 Typical High $134.90 | Professional | 53 · Discontinued | $58.88 | $93.33 | $134.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $346.74 Typical High $512.86 | Professional | 54 · Surgery only | $218.78 | $346.74 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $69.18 Typical High $102.33 | Professional | 55 · Aftercare only | $43.65 | $69.18 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $45.71 Typical High $67.61 | Professional | 56 · Pre-op care only | $29.51 | $45.71 | $67.61 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $204.17 Median $323.59 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $204.17 | $323.59 | $478.63 |
Where Iowa sits
The same service costs 4.7 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· 5th of 51
$741
AK $1,175UT $251
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.