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 $120.23 Median $120.23 Typical High $169.82 | Facility | None | $120.23 | $120.23 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $120.23 Typical High $169.82 | Professional | None | $74.13 | $120.23 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $112.20 Typical High $144.54 | Facility | None | $74.13 | $112.20 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $208.93 Typical High $251.19 | Professional | None | $151.36 | $208.93 | $251.19 |
Hally Health Setting Professional Modifier None Typical Low $72.44 Median $151.36 Typical High $208.93 | Professional | None | $72.44 | $151.36 | $208.93 |
Medica Setting Facility Modifier None Typical Low $120.23 Median $234.42 Typical High $1,288.25 | Facility | None | $120.23 | $234.42 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $123.03 Median $204.17 Typical High $794.33 | Professional | None | $123.03 | $204.17 | $794.33 |
Midlands Setting Professional Modifier None Typical Low $128.82 Median $177.83 Typical High $239.88 | Professional | None | $128.82 | $177.83 | $239.88 |
Midlands Setting Facility Modifier None Typical Low $74.13 Median $112.20 Typical High $144.54 | Facility | None | $74.13 | $112.20 | $144.54 |
Midlands Setting Professional Modifier None Typical Low $147.91 Median $208.93 Typical High $295.12 | Professional | None | $147.91 | $208.93 | $295.12 |
United Setting Facility Modifier None Typical Low $223.87 Median $758.58 Typical High $1,995.26 | Facility | None | $223.87 | $758.58 | $1,995.26 |
United Setting Professional Modifier None Typical Low $85.11 Median $134.90 Typical High $251.19 | Professional | None | $85.11 | $134.90 | $251.19 |
Wellmark Setting Professional Modifier None Typical Low $141.25 Median $165.96 Typical High $288.40 | Professional | None | $141.25 | $165.96 | $288.40 |
4 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 $37.15 Median $60.26 Typical High $85.11 | Professional | 52 · Reduced service | $37.15 | $60.26 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $23.99 Typical High $33.88 | Professional | 53 · Discontinued | $14.79 | $23.99 | $33.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $17.78 Typical High $25.70 | Professional | 55 · Aftercare only | $11.22 | $17.78 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $12.02 Typical High $16.98 | Professional | 56 · Pre-op care only | $7.41 | $12.02 | $16.98 |
Where Iowa sits
The same service costs 3.8 times more in Alaska than in Florida. 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
$178
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.