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 $190.55 Median $1,479.11 Typical High $4,168.69 | Professional | None | $190.55 | $1,479.11 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $2,137.96 Median $2,754.23 Typical High $3,630.78 | Facility | None | $2,137.96 | $2,754.23 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $3,162.28 Typical High $4,897.79 | Professional | None | $407.38 | $3,162.28 | $4,897.79 |
Hally Health Setting Professional Modifier None Typical Low $165.96 Median $316.23 Typical High $5,888.44 | Professional | None | $165.96 | $316.23 | $5,888.44 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $4,265.80 Typical High $10,000.00 | Facility | None | $478.63 | $4,265.80 | $10,000.00 |
Medica Setting Professional Modifier None Typical Low $436.52 Median $4,265.80 Typical High $10,964.78 | Professional | None | $436.52 | $4,265.80 | $10,964.78 |
Midlands Setting Professional Modifier None Typical Low $407.38 Median $3,548.13 Typical High $4,786.30 | Professional | None | $407.38 | $3,548.13 | $4,786.30 |
Midlands Setting Facility Modifier None Typical Low $2,137.96 Median $2,630.27 Typical High $3,630.78 | Facility | None | $2,137.96 | $2,630.27 | $3,630.78 |
Midlands Setting Professional Modifier None Typical Low $398.11 Median $616.60 Typical High $5,370.32 | Professional | None | $398.11 | $616.60 | $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 $218.78 Median $1,659.59 Typical High $5,623.41 | Professional | None | $218.78 | $1,659.59 | $5,623.41 |
Wellmark Setting Professional Modifier None Typical Low $302.00 Median $354.81 Typical High $3,801.89 | Professional | None | $302.00 | $354.81 | $3,801.89 |
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 $169.82 Median $323.59 Typical High $1,737.80 | Professional | 54 · Surgery only | $169.82 | $323.59 | $1,737.80 |
Where Iowa sits
The same service costs 10.5 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
$3,162
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.