How much rates vary
Facilitymedian $2,455 · 10th to 90th $912 to $7,413Professionalmedian $912 · 10th to 90th $537 to $1,514
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 $676.08 Median $3,388.44 Typical High $6,760.83 | Facility | None | $676.08 | $3,388.44 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $676.08 Typical High $933.25 | Professional | None | $436.52 | $676.08 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $2,238.72 Typical High $2,884.03 | Facility | None | $954.99 | $2,238.72 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $1,202.26 Typical High $1,548.82 | Professional | None | $912.01 | $1,202.26 | $1,548.82 |
Hally Health Setting Professional Modifier None Typical Low $371.54 Median $707.95 Typical High $977.24 | Professional | None | $371.54 | $707.95 | $977.24 |
Medica Setting Facility Modifier None Typical Low $851.14 Median $1,513.56 Typical High $7,413.10 | Facility | None | $851.14 | $1,513.56 | $7,413.10 |
Medica Setting Professional Modifier None Typical Low $645.65 Median $1,071.52 Typical High $3,019.95 | Professional | None | $645.65 | $1,071.52 | $3,019.95 |
Midlands Setting Professional Modifier None Typical Low $912.01 Median $1,122.02 Typical High $1,513.56 | Professional | None | $912.01 | $1,122.02 | $1,513.56 |
Midlands Setting Facility Modifier None Typical Low $1,318.26 Median $2,238.72 Typical High $2,884.03 | Facility | None | $1,318.26 | $2,238.72 | $2,884.03 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,630.78 Typical High $8,709.64 | Facility | None | $1,258.93 | $3,630.78 | $8,709.64 |
United Setting Professional Modifier None Typical Low $457.09 Median $707.95 Typical High $1,348.96 | Professional | None | $457.09 | $707.95 | $1,348.96 |
Wellmark Setting Professional Modifier None Typical Low $812.83 Median $891.25 Typical High $1,258.93 | Professional | None | $812.83 | $891.25 | $1,258.93 |
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 $218.78 Median $338.84 Typical High $467.74 | Professional | 52 · Reduced service | $218.78 | $338.84 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $138.04 Typical High $186.21 | Professional | 53 · Discontinued | $87.10 | $138.04 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $512.86 Typical High $691.83 | Professional | 54 · Surgery only | $331.13 | $512.86 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $102.33 Typical High $138.04 | Professional | 55 · Aftercare only | $66.07 | $102.33 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $67.61 Typical High $93.33 | Professional | 56 · Pre-op care only | $43.65 | $67.61 | $93.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $478.63 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $309.03 | $478.63 | $645.65 |
Where Iowa sits
The same service costs 4.6 times more in Oklahoma 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
OK $6,614MT $1,440
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.