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 $436.52 Median $2,630.27 Typical High $6,760.83 | Facility | None | $436.52 | $2,630.27 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $295.12 Typical High $457.09 | Professional | None | $154.88 | $295.12 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $1,905.46 Median $2,041.74 Typical High $2,570.40 | Facility | None | $1,905.46 | $2,041.74 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $616.60 Typical High $794.33 | Professional | None | $295.12 | $616.60 | $794.33 |
Hally Health Setting Professional Modifier None Typical Low $123.03 Median $371.54 Typical High $1,047.13 | Professional | None | $123.03 | $371.54 | $1,047.13 |
Medica Setting Facility Modifier None Typical Low $309.03 Median $676.08 Typical High $1,905.46 | Facility | None | $309.03 | $676.08 | $1,905.46 |
Medica Setting Professional Modifier None Typical Low $331.13 Median $676.08 Typical High $1,949.84 | Professional | None | $331.13 | $676.08 | $1,949.84 |
Midlands Setting Professional Modifier None Typical Low $295.12 Median $616.60 Typical High $776.25 | Professional | None | $295.12 | $616.60 | $776.25 |
Midlands Setting Facility Modifier None Typical Low $1,905.46 Median $2,187.76 Typical High $2,570.40 | Facility | None | $1,905.46 | $2,187.76 | $2,570.40 |
Midlands Setting Professional Modifier None Typical Low $338.84 Median $407.38 Typical High $912.01 | Professional | None | $338.84 | $407.38 | $912.01 |
Oscar Health Setting Professional Modifier None Typical Low $138.04 Median $288.40 Typical High $602.56 | Professional | None | $138.04 | $288.40 | $602.56 |
United Setting Facility Modifier None Typical Low $158.49 Median $954.99 Typical High $1,995.26 | Facility | None | $158.49 | $954.99 | $1,995.26 |
United Setting Professional Modifier None Typical Low $165.96 Median $426.58 Typical High $954.99 | Professional | None | $165.96 | $426.58 | $954.99 |
Wellmark Setting Professional Modifier None Typical Low $245.47 Median $288.40 Typical High $691.83 | Professional | None | $245.47 | $288.40 | $691.83 |
3 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 $120.23 Median $158.49 Typical High $331.13 | Professional | 54 · Surgery only | $120.23 | $158.49 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $31.62 Typical High $66.07 | Professional | 55 · Aftercare only | $23.99 | $31.62 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $20.89 Typical High $43.65 | Professional | 56 · Pre-op care only | $16.22 | $20.89 | $43.65 |
Where Iowa sits
The same service costs 3.4 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· 8th of 51
$457
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.