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 $1,659.59 Median $4,265.80 Typical High $7,244.36 | Facility | None | $1,659.59 | $4,265.80 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $1,659.59 Typical High $1,659.59 | Professional | None | $954.99 | $1,659.59 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $3,890.45 Median $6,025.60 Typical High $7,762.47 | Facility | None | $3,890.45 | $6,025.60 | $7,762.47 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $2,398.83 Typical High $2,884.03 | Professional | None | $2,041.74 | $2,398.83 | $2,884.03 |
Hally Health Setting Professional Modifier None Typical Low $977.24 Median $1,659.59 Typical High $2,884.03 | Professional | None | $977.24 | $1,659.59 | $2,884.03 |
Medica Setting Facility Modifier None Typical Low $1,479.11 Median $4,677.35 Typical High $17,378.01 | Facility | None | $1,479.11 | $4,677.35 | $17,378.01 |
Medica Setting Professional Modifier None Typical Low $1,174.90 Median $2,344.23 Typical High $7,762.47 | Professional | None | $1,174.90 | $2,344.23 | $7,762.47 |
Midlands Setting Professional Modifier None Typical Low $2,041.74 Median $2,398.83 Typical High $2,818.38 | Professional | None | $2,041.74 | $2,398.83 | $2,818.38 |
Midlands Setting Facility Modifier None Typical Low $3,890.45 Median $5,888.44 Typical High $7,762.47 | Facility | None | $3,890.45 | $5,888.44 | $7,762.47 |
Midlands Setting Professional Modifier None Typical Low $2,041.74 Median $2,344.23 Typical High $3,630.78 | Professional | None | $2,041.74 | $2,344.23 | $3,630.78 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $6,309.57 Typical High $19,054.61 | Facility | None | $1,819.70 | $6,309.57 | $19,054.61 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,584.89 Typical High $2,884.03 | Professional | None | $1,047.13 | $1,584.89 | $2,884.03 |
Wellmark Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,398.83 | Professional | None | $2,041.74 | $2,041.74 | $2,398.83 |
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 54 · Surgery only Typical Low $724.44 Median $1,230.27 Typical High $1,230.27 | Professional | 54 · Surgery only | $724.44 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $251.19 Typical High $251.19 | Professional | 55 · Aftercare only | $144.54 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $165.96 Typical High $165.96 | Professional | 56 · Pre-op care only | $95.50 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $1,148.15 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $676.08 | $1,148.15 | $1,148.15 |
Where Iowa sits
The same service costs 7.6 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
$2,344
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.