How much rates vary
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 $489.78 Median $4,897.79 Typical High $7,244.36 | Facility | None | $489.78 | $4,897.79 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $363.08 Typical High $489.78 | Professional | None | $229.09 | $363.08 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $354.81 Typical High $426.58 | Facility | None | $275.42 | $354.81 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $616.60 Typical High $758.58 | Professional | None | $501.19 | $616.60 | $758.58 |
Hally Health Setting Professional Modifier None Typical Low $204.17 Median $407.38 Typical High $870.96 | Professional | None | $204.17 | $407.38 | $870.96 |
Medica Setting Facility Modifier None Typical Low $407.38 Median $812.83 Typical High $4,897.79 | Facility | None | $407.38 | $812.83 | $4,897.79 |
Medica Setting Professional Modifier None Typical Low $389.05 Median $676.08 Typical High $2,344.23 | Professional | None | $389.05 | $676.08 | $2,344.23 |
Midlands Setting Professional Modifier None Typical Low $426.58 Median $588.84 Typical High $758.58 | Professional | None | $426.58 | $588.84 | $758.58 |
Midlands Setting Facility Modifier None Typical Low $269.15 Median $346.74 Typical High $426.58 | Facility | None | $269.15 | $346.74 | $426.58 |
Midlands Setting Professional Modifier None Typical Low $436.52 Median $645.65 Typical High $851.14 | Professional | None | $436.52 | $645.65 | $851.14 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $3,981.07 Typical High $7,943.28 | Facility | None | $1,380.38 | $3,981.07 | $7,943.28 |
United Setting Professional Modifier None Typical Low $251.19 Median $426.58 Typical High $776.25 | Professional | None | $251.19 | $426.58 | $776.25 |
Wellmark Setting Professional Modifier None Typical Low $426.58 Median $501.19 Typical High $741.31 | Professional | None | $426.58 | $501.19 | $741.31 |
1 more rate 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 78 · Unplanned return to OR Typical Low $158.49 Median $251.19 Typical High $346.74 | Professional | 78 · Unplanned return to OR | $158.49 | $251.19 | $346.74 |
Where Iowa sits
The same service costs 5.0 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
$575
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.