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 $93.33 Median $3,090.30 Typical High $6,760.83 | Facility | None | $93.33 | $3,090.30 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $117.49 Typical High $199.53 | Professional | None | $51.29 | $117.49 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $147.91 Typical High $323.59 | Professional | None | $89.13 | $147.91 | $323.59 |
Hally Health Setting Professional Modifier None Typical Low $44.67 Median $158.49 Typical High $323.59 | Professional | None | $44.67 | $158.49 | $323.59 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $309.03 Typical High $1,621.81 | Facility | None | $125.89 | $309.03 | $1,621.81 |
Medica Setting Professional Modifier None Typical Low $102.33 Median $281.84 Typical High $1,047.13 | Professional | None | $102.33 | $281.84 | $1,047.13 |
Midlands Setting Professional Modifier None Typical Low $107.15 Median $213.80 Typical High $323.59 | Professional | None | $107.15 | $213.80 | $323.59 |
Midlands Setting Professional Modifier None Typical Low $97.72 Median $269.15 Typical High $323.59 | Professional | None | $97.72 | $269.15 | $323.59 |
Oscar Health Setting Professional Modifier None Typical Low $46.77 Median $102.33 Typical High $234.42 | Professional | None | $46.77 | $102.33 | $234.42 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,737.80 Typical High $3,630.78 | Facility | None | $1,096.48 | $1,737.80 | $3,630.78 |
United Setting Professional Modifier None Typical Low $57.54 Median $141.25 Typical High $389.05 | Professional | None | $57.54 | $141.25 | $389.05 |
Wellmark Setting Professional Modifier None Typical Low $87.10 Median $104.71 Typical High $275.42 | Professional | None | $87.10 | $104.71 | $275.42 |
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 $27.54 Median $54.95 Typical High $91.20 | Professional | 52 · Reduced service | $27.54 | $54.95 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $22.39 Typical High $37.15 | Professional | 53 · Discontinued | $10.96 | $22.39 | $37.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $41.69 Median $83.18 Typical High $138.04 | Professional | 54 · Surgery only | $41.69 | $83.18 | $138.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $16.60 Typical High $27.54 | Professional | 55 · Aftercare only | $8.32 | $16.60 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $10.96 Typical High $18.20 | Professional | 56 · Pre-op care only | $5.50 | $10.96 | $18.20 |
Where Iowa sits
The same service costs 2.8 times more in Wisconsin 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· 3rd of 51
$182
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.