How much rates vary
Facilitymedian $2,951 · 10th to 90th $1,023 to $8,128Professionalmedian $1,479 · 10th to 90th $468 to $3,467
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 $616.60 Median $4,168.69 Typical High $7,244.36 | Facility | None | $616.60 | $4,168.69 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $1,148.15 Typical High $1,905.46 | Professional | None | $380.19 | $1,148.15 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $2,691.53 Typical High $3,162.28 | Facility | None | $1,096.48 | $2,691.53 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $2,454.71 Typical High $3,467.37 | Professional | None | $758.58 | $2,454.71 | $3,467.37 |
Hally Health Setting Professional Modifier None Typical Low $354.81 Median $1,584.89 Typical High $3,019.95 | Professional | None | $354.81 | $1,584.89 | $3,019.95 |
Medica Setting Facility Modifier None Typical Low $912.01 Median $2,691.53 Typical High $8,317.64 | Facility | None | $912.01 | $2,691.53 | $8,317.64 |
Medica Setting Professional Modifier None Typical Low $741.31 Median $2,511.89 Typical High $5,754.40 | Professional | None | $741.31 | $2,511.89 | $5,754.40 |
Midlands Setting Professional Modifier None Typical Low $758.58 Median $2,570.40 Typical High $3,467.37 | Professional | None | $758.58 | $2,570.40 | $3,467.37 |
Midlands Setting Facility Modifier None Typical Low $1,698.24 Median $2,630.27 Typical High $3,162.28 | Facility | None | $1,698.24 | $2,630.27 | $3,162.28 |
Midlands Setting Professional Modifier None Typical Low $707.95 Median $1,318.26 Typical High $3,981.07 | Professional | None | $707.95 | $1,318.26 | $3,981.07 |
Oscar Health Setting Professional Modifier None Typical Low $416.87 Median $977.24 Typical High $2,818.38 | Professional | None | $416.87 | $977.24 | $2,818.38 |
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 $426.58 Median $1,258.93 Typical High $3,467.37 | Professional | None | $426.58 | $1,258.93 | $3,467.37 |
Wellmark Setting Professional Modifier None Typical Low $758.58 Median $891.25 Typical High $3,311.31 | Professional | None | $758.58 | $891.25 | $3,311.31 |
6 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 $234.42 Median $302.00 Typical High $954.99 | Professional | 52 · Reduced service | $234.42 | $302.00 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $123.03 Typical High $380.19 | Professional | 53 · Discontinued | $93.33 | $123.03 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $457.09 Typical High $1,412.54 | Professional | 54 · Surgery only | $346.74 | $457.09 | $1,412.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $91.20 Typical High $281.84 | Professional | 55 · Aftercare only | $69.18 | $91.20 | $281.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $61.66 Typical High $190.55 | Professional | 56 · Pre-op care only | $46.77 | $61.66 | $190.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $426.58 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $323.59 | $426.58 | $1,318.26 |
Where Iowa sits
The same service costs 4.4 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· 5th of 51
$1,950
AK $3,020NE $692
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.