How much rates vary
Facilitymedian $1,047 · 10th to 90th $224 to $3,388Professionalmedian $912 · 10th to 90th $234 to $2,089
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 $234.42 Median $2,630.27 Typical High $6,760.83 | Facility | None | $234.42 | $2,630.27 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $549.54 Typical High $912.01 | Professional | None | $131.83 | $549.54 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $1,096.48 Typical High $1,659.59 | Professional | None | $316.23 | $1,096.48 | $1,659.59 |
Hally Health Setting Professional Modifier None Typical Low $151.36 Median $660.69 Typical High $1,445.44 | Professional | None | $151.36 | $660.69 | $1,445.44 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $954.99 Typical High $1,621.81 | Facility | None | $158.49 | $954.99 | $1,621.81 |
Medica Setting Professional Modifier None Typical Low $380.19 Median $1,513.56 Typical High $2,570.40 | Professional | None | $380.19 | $1,513.56 | $2,570.40 |
Midlands Setting Professional Modifier None Typical Low $323.59 Median $1,258.93 Typical High $1,621.81 | Professional | None | $323.59 | $1,258.93 | $1,621.81 |
Midlands Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $1,905.46 | Professional | None | $446.68 | $446.68 | $1,905.46 |
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 $169.82 Median $602.56 Typical High $1,949.84 | Professional | None | $169.82 | $602.56 | $1,949.84 |
Wellmark Setting Professional Modifier None Typical Low $269.15 Median $316.23 Typical High $1,412.54 | Professional | None | $269.15 | $316.23 | $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 $87.10 Median $117.49 Typical High $457.09 | Professional | 52 · Reduced service | $87.10 | $117.49 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $46.77 Typical High $181.97 | Professional | 53 · Discontinued | $34.67 | $46.77 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $131.83 Median $173.78 Typical High $676.08 | Professional | 54 · Surgery only | $131.83 | $173.78 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $34.67 Typical High $134.90 | Professional | 55 · Aftercare only | $26.30 | $34.67 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $23.44 Typical High $91.20 | Professional | 56 · Pre-op care only | $18.62 | $23.44 | $91.20 |
Where Iowa sits
The same service costs 17.4 times more in Alabama 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
AL $9,157MT $526
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.