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 $524.81 Median $3,548.13 Typical High $6,760.83 | Facility | None | $524.81 | $3,548.13 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $724.44 Typical High $1,513.56 | Professional | None | $309.03 | $724.44 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $1,905.46 Median $2,691.53 Typical High $3,162.28 | Facility | None | $1,905.46 | $2,691.53 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $2,089.30 Typical High $2,818.38 | Professional | None | $616.60 | $2,089.30 | $2,818.38 |
Hally Health Setting Professional Modifier None Typical Low $257.04 Median $1,258.93 Typical High $4,168.69 | Professional | None | $257.04 | $1,258.93 | $4,168.69 |
Medica Setting Facility Modifier None Typical Low $724.44 Median $2,754.23 Typical High $8,317.64 | Facility | None | $724.44 | $2,754.23 | $8,317.64 |
Medica Setting Professional Modifier None Typical Low $691.83 Median $2,398.83 Typical High $9,120.11 | Professional | None | $691.83 | $2,398.83 | $9,120.11 |
Midlands Setting Professional Modifier None Typical Low $616.60 Median $2,089.30 Typical High $2,691.53 | Professional | None | $616.60 | $2,089.30 | $2,691.53 |
Midlands Setting Facility Modifier None Typical Low $1,949.84 Median $2,630.27 Typical High $3,162.28 | Facility | None | $1,949.84 | $2,630.27 | $3,162.28 |
Midlands Setting Professional Modifier None Typical Low $691.83 Median $851.14 Typical High $3,162.28 | Professional | None | $691.83 | $851.14 | $3,162.28 |
Oscar Health Setting Professional Modifier None Typical Low $288.40 Median $660.69 Typical High $2,041.74 | Professional | None | $288.40 | $660.69 | $2,041.74 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $4,365.16 Typical High $9,772.37 | Facility | None | $1,380.38 | $4,365.16 | $9,772.37 |
United Setting Professional Modifier None Typical Low $338.84 Median $1,096.48 Typical High $3,311.31 | Professional | None | $338.84 | $1,096.48 | $3,311.31 |
Wellmark Setting Professional Modifier None Typical Low $512.86 Median $602.56 Typical High $2,398.83 | Professional | None | $512.86 | $602.56 | $2,398.83 |
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 $251.19 Median $331.13 Typical High $1,148.15 | Professional | 54 · Surgery only | $251.19 | $331.13 | $1,148.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $66.07 Typical High $229.09 | Professional | 55 · Aftercare only | $50.12 | $66.07 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $43.65 Typical High $151.36 | Professional | 56 · Pre-op care only | $33.11 | $43.65 | $151.36 |
Where Iowa sits
The same service costs 4.8 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· 6th of 51
$1,738
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.