How much rates vary
Facilitymedian $12,303 · 10th to 90th $1,905 to $34,674Professionalmedian $8,128 · 10th to 90th $813 to $17,783
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 $812.83 Median $6,918.31 Typical High $10,471.29 | Facility | None | $812.83 | $6,918.31 | $10,471.29 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $4,897.79 Typical High $8,128.31 | Professional | None | $489.78 | $4,897.79 | $8,128.31 |
Cigna Setting Facility Modifier None Typical Low $18,620.87 Median $21,877.62 Typical High $25,703.96 | Facility | None | $18,620.87 | $21,877.62 | $25,703.96 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $11,220.18 Typical High $15,488.17 | Professional | None | $1,122.02 | $11,220.18 | $15,488.17 |
Hally Health Setting Professional Modifier None Typical Low $489.78 Median $5,888.44 Typical High $11,748.98 | Professional | None | $489.78 | $5,888.44 | $11,748.98 |
Medica Setting Facility Modifier None Typical Low $1,318.26 Median $12,302.69 Typical High $37,153.52 | Facility | None | $1,318.26 | $12,302.69 | $37,153.52 |
Medica Setting Professional Modifier None Typical Low $1,348.96 Median $12,882.50 Typical High $19,498.45 | Professional | None | $1,348.96 | $12,882.50 | $19,498.45 |
Midlands Setting Professional Modifier None Typical Low $1,122.02 Median $11,220.18 Typical High $15,135.61 | Professional | None | $1,122.02 | $11,220.18 | $15,135.61 |
Midlands Setting Facility Modifier None Typical Low $14,454.40 Median $21,379.62 Typical High $25,703.96 | Facility | None | $14,454.40 | $21,379.62 | $25,703.96 |
Midlands Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $16,982.44 | Professional | None | $1,698.24 | $1,698.24 | $16,982.44 |
United Setting Facility Modifier None Typical Low $3,548.13 Median $14,454.40 Typical High $47,863.01 | Facility | None | $3,548.13 | $14,454.40 | $47,863.01 |
United Setting Professional Modifier None Typical Low $602.56 Median $5,623.41 Typical High $18,197.01 | Professional | None | $602.56 | $5,623.41 | $18,197.01 |
Wellmark Setting Professional Modifier None Typical Low $933.25 Median $1,096.48 Typical High $14,454.40 | Professional | None | $933.25 | $1,096.48 | $14,454.40 |
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 $302.00 Median $407.38 Typical High $4,073.80 | Professional | 52 · Reduced service | $302.00 | $407.38 | $4,073.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $162.18 Typical High $1,621.81 | Professional | 53 · Discontinued | $123.03 | $162.18 | $1,621.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $616.60 Typical High $6,165.95 | Professional | 54 · Surgery only | $457.09 | $616.60 | $6,165.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $123.03 Typical High $1,230.27 | Professional | 55 · Aftercare only | $91.20 | $123.03 | $1,230.27 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $81.28 Typical High $812.83 | Professional | 56 · Pre-op care only | $64.57 | $81.28 | $812.83 |
Where Iowa sits
The same service costs 6.1 times more in Alaska than in Vermont. 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
AK $33,081VT $5,424
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.