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 $4,168.69 Typical High $7,244.36 | Facility | None | $602.56 | $4,168.69 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $1,479.11 Typical High $2,398.83 | Professional | None | $158.49 | $1,479.11 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $2,137.96 Median $4,677.35 Typical High $7,244.36 | Facility | None | $2,137.96 | $4,677.35 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $3,090.30 Typical High $4,786.30 | Professional | None | $354.81 | $3,090.30 | $4,786.30 |
Hally Health Setting Professional Modifier None Typical Low $144.54 Median $275.42 Typical High $4,265.80 | Professional | None | $144.54 | $275.42 | $4,265.80 |
Medica Setting Facility Modifier None Typical Low $416.87 Median $4,265.80 Typical High $10,964.78 | Facility | None | $416.87 | $4,265.80 | $10,964.78 |
Medica Setting Professional Modifier None Typical Low $389.05 Median $3,981.07 Typical High $7,244.36 | Professional | None | $389.05 | $3,981.07 | $7,244.36 |
Midlands Setting Professional Modifier None Typical Low $354.81 Median $3,548.13 Typical High $4,677.35 | Professional | None | $354.81 | $3,548.13 | $4,677.35 |
Midlands Setting Facility Modifier None Typical Low $2,137.96 Median $4,677.35 Typical High $7,244.36 | Facility | None | $2,137.96 | $4,677.35 | $7,244.36 |
Midlands Setting Professional Modifier None Typical Low $331.13 Median $537.03 Typical High $5,370.32 | Professional | None | $331.13 | $537.03 | $5,370.32 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $4,365.16 Typical High $18,620.87 | Facility | None | $1,380.38 | $4,365.16 | $18,620.87 |
United Setting Professional Modifier None Typical Low $190.55 Median $1,659.59 Typical High $5,248.07 | Professional | None | $190.55 | $1,659.59 | $5,248.07 |
Wellmark Setting Professional Modifier None Typical Low $269.15 Median $316.23 Typical High $3,715.35 | Professional | None | $269.15 | $316.23 | $3,715.35 |
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 54 · Surgery only Typical Low $151.36 Median $288.40 Typical High $1,737.80 | Professional | 54 · Surgery only | $151.36 | $288.40 | $1,737.80 |
Where Iowa sits
The same service costs 10.0 times more in Alaska than in Nebraska. 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
$2,951
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.