How much rates vary
Facilitymedian $3,388 · 10th to 90th $851 to $11,749Professionalmedian $871 · 10th to 90th $537 to $1,479
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 $4,168.69 Typical High $7,244.36 | Facility | None | $602.56 | $4,168.69 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $588.84 Typical High $870.96 | Professional | None | $363.08 | $588.84 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $5,888.44 Typical High $7,244.36 | Facility | None | $1,096.48 | $5,888.44 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $933.25 Typical High $1,288.25 | Professional | None | $812.83 | $933.25 | $1,288.25 |
Hally Health Setting Professional Modifier None Typical Low $338.84 Median $724.44 Typical High $1,071.52 | Professional | None | $338.84 | $724.44 | $1,071.52 |
Medica Setting Facility Modifier None Typical Low $812.83 Median $1,548.82 Typical High $14,791.08 | Facility | None | $812.83 | $1,548.82 | $14,791.08 |
Medica Setting Professional Modifier None Typical Low $630.96 Median $1,047.13 Typical High $4,073.80 | Professional | None | $630.96 | $1,047.13 | $4,073.80 |
Midlands Setting Professional Modifier None Typical Low $707.95 Median $1,047.13 Typical High $1,258.93 | Professional | None | $707.95 | $1,047.13 | $1,258.93 |
Midlands Setting Facility Modifier None Typical Low $1,548.82 Median $5,888.44 Typical High $7,244.36 | Facility | None | $1,548.82 | $5,888.44 | $7,244.36 |
Midlands Setting Professional Modifier None Typical Low $676.08 Median $1,096.48 Typical High $1,479.11 | Professional | None | $676.08 | $1,096.48 | $1,479.11 |
Oscar Health Setting Professional Modifier None Typical Low $380.19 Median $691.83 Typical High $1,202.26 | Professional | None | $380.19 | $691.83 | $1,202.26 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,715.35 Typical High $19,054.61 | Facility | None | $1,258.93 | $3,715.35 | $19,054.61 |
United Setting Professional Modifier None Typical Low $407.38 Median $676.08 Typical High $1,318.26 | Professional | None | $407.38 | $676.08 | $1,318.26 |
Wellmark Setting Professional Modifier None Typical Low $724.44 Median $851.14 Typical High $1,380.38 | Professional | None | $724.44 | $851.14 | $1,380.38 |
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 $186.21 Median $295.12 Typical High $436.52 | Professional | 52 · Reduced service | $186.21 | $295.12 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $117.49 Typical High $173.78 | Professional | 53 · Discontinued | $74.13 | $117.49 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $446.68 Typical High $645.65 | Professional | 54 · Surgery only | $281.84 | $446.68 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $89.13 Typical High $128.82 | Professional | 55 · Aftercare only | $56.23 | $89.13 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $58.88 Typical High $87.10 | Professional | 56 · Pre-op care only | $37.15 | $58.88 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $416.87 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $263.03 | $416.87 | $602.56 |
Where Iowa sits
The same service costs 6.4 times more in Alaska than in Montana. 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 $8,723MT $1,361
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.