How much rates vary
Facilitymedian $4,467 · 10th to 90th $1,778 to $12,303Professionalmedian $2,951 · 10th to 90th $1,660 to $4,365
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 $2,041.74 Median $5,248.07 Typical High $7,943.28 | Facility | None | $2,041.74 | $5,248.07 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $2,041.74 Typical High $2,454.71 | Professional | None | $1,318.26 | $2,041.74 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $4,897.79 Typical High $5,888.44 | Facility | None | $1,380.38 | $4,897.79 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $2,754.23 Median $3,311.31 Typical High $4,073.80 | Professional | None | $2,754.23 | $3,311.31 | $4,073.80 |
Hally Health Setting Professional Modifier None Typical Low $1,122.02 Median $2,137.96 Typical High $3,548.13 | Professional | None | $1,122.02 | $2,137.96 | $3,548.13 |
Medica Setting Facility Modifier None Typical Low $1,819.70 Median $3,630.78 Typical High $12,589.25 | Facility | None | $1,819.70 | $3,630.78 | $12,589.25 |
Medica Setting Professional Modifier None Typical Low $1,862.09 Median $3,235.94 Typical High $8,912.51 | Professional | None | $1,862.09 | $3,235.94 | $8,912.51 |
Midlands Setting Professional Modifier None Typical Low $2,754.23 Median $3,311.31 Typical High $4,073.80 | Professional | None | $2,754.23 | $3,311.31 | $4,073.80 |
Midlands Setting Facility Modifier None Typical Low $2,951.21 Median $4,786.30 Typical High $5,888.44 | Facility | None | $2,951.21 | $4,786.30 | $5,888.44 |
Midlands Setting Professional Modifier None Typical Low $2,398.83 Median $3,235.94 Typical High $4,570.88 | Professional | None | $2,398.83 | $3,235.94 | $4,570.88 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $5,011.87 Typical High $15,488.17 | Facility | None | $1,584.89 | $5,011.87 | $15,488.17 |
United Setting Professional Modifier None Typical Low $1,380.38 Median $2,238.72 Typical High $3,890.45 | Professional | None | $1,380.38 | $2,238.72 | $3,890.45 |
Wellmark Setting Professional Modifier None Typical Low $2,344.23 Median $2,570.40 Typical High $3,630.78 | Professional | None | $2,344.23 | $2,570.40 | $3,630.78 |
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 $645.65 Median $1,023.29 Typical High $1,230.27 | Professional | 52 · Reduced service | $645.65 | $1,023.29 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $407.38 Typical High $489.78 | Professional | 53 · Discontinued | $263.03 | $407.38 | $489.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $977.24 Median $1,513.56 Typical High $1,862.09 | Professional | 54 · Surgery only | $977.24 | $1,513.56 | $1,862.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $302.00 Typical High $371.54 | Professional | 55 · Aftercare only | $194.98 | $302.00 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $204.17 Typical High $245.47 | Professional | 56 · Pre-op care only | $131.83 | $204.17 | $245.47 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $1,412.54 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $912.01 | $1,412.54 | $1,737.80 |
Where Iowa sits
The same service costs 3.2 times more in Alaska than in Kentucky. 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 $12,311KY $3,892
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.