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 $602.56 Median $6,760.83 Typical High $10,471.29 | Facility | None | $602.56 | $6,760.83 | $10,471.29 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $2,238.72 Typical High $3,467.37 | Professional | None | $181.97 | $2,238.72 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $6,309.57 Median $7,244.36 Typical High $8,709.64 | Facility | None | $6,309.57 | $7,244.36 | $8,709.64 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $537.03 Typical High $7,079.46 | Professional | None | $380.19 | $537.03 | $7,079.46 |
Hally Health Setting Professional Modifier None Typical Low $177.83 Median $3,090.30 Typical High $4,570.88 | Professional | None | $177.83 | $3,090.30 | $4,570.88 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $5,011.87 Typical High $12,589.25 | Facility | None | $446.68 | $5,011.87 | $12,589.25 |
Medica Setting Professional Modifier None Typical Low $446.68 Median $5,248.07 Typical High $15,135.61 | Professional | None | $446.68 | $5,248.07 | $15,135.61 |
Midlands Setting Professional Modifier None Typical Low $380.19 Median $5,370.32 Typical High $7,079.46 | Professional | None | $380.19 | $5,370.32 | $7,079.46 |
Midlands Setting Facility Modifier None Typical Low $5,370.32 Median $7,244.36 Typical High $8,709.64 | Facility | None | $5,370.32 | $7,244.36 | $8,709.64 |
Midlands Setting Professional Modifier None Typical Low $446.68 Median $575.44 Typical High $8,128.31 | Professional | None | $446.68 | $575.44 | $8,128.31 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $5,011.87 Typical High $15,488.17 | Facility | None | $1,584.89 | $5,011.87 | $15,488.17 |
United Setting Professional Modifier None Typical Low $199.53 Median $2,630.27 Typical High $8,317.64 | Professional | None | $199.53 | $2,630.27 | $8,317.64 |
Wellmark Setting Professional Modifier None Typical Low $288.40 Median $338.84 Typical High $5,623.41 | Professional | None | $288.40 | $338.84 | $5,623.41 |
5 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 $91.20 Median $204.17 Typical High $1,737.80 | Professional | 52 · Reduced service | $91.20 | $204.17 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $81.28 Typical High $691.83 | Professional | 53 · Discontinued | $36.31 | $81.28 | $691.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $309.03 Typical High $2,630.27 | Professional | 54 · Surgery only | $162.18 | $309.03 | $2,630.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $61.66 Typical High $524.81 | Professional | 55 · Aftercare only | $26.92 | $61.66 | $524.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $40.74 Typical High $346.74 | Professional | 56 · Pre-op care only | $18.20 | $40.74 | $346.74 |
Where Iowa sits
The same service costs 33.1 times more in Alaska than in Kentucky. 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· 2nd of 51
$4,365
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.