How much rates vary
Facilitymedian $2,344 · 10th to 90th $631 to $7,943Professionalmedian $891 · 10th to 90th $269 to $1,905
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 $4,897.79 Typical High $7,244.36 | Facility | None | $602.56 | $4,897.79 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $562.34 Typical High $912.01 | Professional | None | $194.98 | $562.34 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $891.25 Typical High $3,630.78 | Facility | None | $724.44 | $891.25 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $1,122.02 Typical High $1,698.24 | Professional | None | $398.11 | $1,122.02 | $1,698.24 |
Hally Health Setting Professional Modifier None Typical Low $165.96 Median $741.31 Typical High $1,230.27 | Professional | None | $165.96 | $741.31 | $1,230.27 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $1,513.56 Typical High $7,762.47 | Facility | None | $446.68 | $1,513.56 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $389.05 Median $1,230.27 Typical High $3,467.37 | Professional | None | $389.05 | $1,230.27 | $3,467.37 |
Midlands Setting Professional Modifier None Typical Low $398.11 Median $1,258.93 Typical High $1,548.82 | Professional | None | $398.11 | $1,258.93 | $1,548.82 |
Midlands Setting Facility Modifier None Typical Low $724.44 Median $954.99 Typical High $3,548.13 | Facility | None | $724.44 | $954.99 | $3,548.13 |
Midlands Setting Professional Modifier None Typical Low $363.08 Median $549.54 Typical High $1,905.46 | Professional | None | $363.08 | $549.54 | $1,905.46 |
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 $213.80 Median $630.96 Typical High $1,778.28 | Professional | None | $213.80 | $630.96 | $1,778.28 |
Wellmark Setting Professional Modifier None Typical Low $331.13 Median $389.05 Typical High $1,412.54 | Professional | None | $331.13 | $389.05 | $1,412.54 |
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 $109.65 Median $147.91 Typical High $457.09 | Professional | 52 · Reduced service | $109.65 | $147.91 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $58.88 Typical High $186.21 | Professional | 53 · Discontinued | $43.65 | $58.88 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $218.78 Typical High $691.83 | Professional | 54 · Surgery only | $162.18 | $218.78 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $43.65 Typical High $138.04 | Professional | 55 · Aftercare only | $32.36 | $43.65 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $29.51 Typical High $91.20 | Professional | 56 · Pre-op care only | $21.88 | $29.51 | $91.20 |
Where Iowa sits
The same service costs 6.9 times more in Colorado than in Montana. 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.
Physician feeFacility fee
CO $7,377MT $1,063
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.