How much rates vary
Facilitymedian $1,950 · 10th to 90th $851 to $5,754Professionalmedian $912 · 10th to 90th $550 to $1,585
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 $363.08 Median $562.34 Typical High $912.01 | Professional | None | $363.08 | $562.34 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,862.09 Typical High $2,290.87 | Facility | None | $954.99 | $1,862.09 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $954.99 Typical High $1,412.54 | Professional | None | $794.33 | $954.99 | $1,412.54 |
Hally Health Setting Professional Modifier None Typical Low $323.59 Median $630.96 Typical High $1,023.29 | Professional | None | $323.59 | $630.96 | $1,023.29 |
Medica Setting Facility Modifier None Typical Low $776.25 Median $1,584.89 Typical High $5,370.32 | Facility | None | $776.25 | $1,584.89 | $5,370.32 |
Medica Setting Professional Modifier None Typical Low $630.96 Median $1,071.52 Typical High $4,365.16 | Professional | None | $630.96 | $1,071.52 | $4,365.16 |
Midlands Setting Professional Modifier None Typical Low $691.83 Median $1,122.02 Typical High $1,318.26 | Professional | None | $691.83 | $1,122.02 | $1,318.26 |
Midlands Setting Facility Modifier None Typical Low $954.99 Median $1,905.46 Typical High $2,290.87 | Facility | None | $954.99 | $1,905.46 | $2,290.87 |
Midlands Setting Professional Modifier None Typical Low $645.65 Median $1,096.48 Typical High $1,621.81 | Professional | None | $645.65 | $1,096.48 | $1,621.81 |
Oscar Health Setting Professional Modifier None Typical Low $380.19 Median $724.44 Typical High $1,318.26 | Professional | None | $380.19 | $724.44 | $1,318.26 |
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 $371.54 Median $660.69 Typical High $1,380.38 | Professional | None | $371.54 | $660.69 | $1,380.38 |
Wellmark Setting Professional Modifier None Typical Low $741.31 Median $870.96 Typical High $1,548.82 | Professional | None | $741.31 | $870.96 | $1,548.82 |
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 $181.97 Median $281.84 Typical High $457.09 | Professional | 52 · Reduced service | $181.97 | $281.84 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $112.20 Typical High $181.97 | Professional | 53 · Discontinued | $72.44 | $112.20 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $426.58 Typical High $691.83 | Professional | 54 · Surgery only | $269.15 | $426.58 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $85.11 Typical High $138.04 | Professional | 55 · Aftercare only | $53.70 | $85.11 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $56.23 Typical High $91.20 | Professional | 56 · Pre-op care only | $36.31 | $56.23 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $398.11 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $251.19 | $398.11 | $645.65 |
Where Iowa sits
The same service costs 4.7 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.
Iowa· 5th of 51
$955
AK $1,660TX $355
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.