How much rates vary
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 $831.76 Median $2,951.21 Typical High $6,760.83 | Facility | None | $831.76 | $2,951.21 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $831.76 Typical High $831.76 | Professional | None | $467.74 | $831.76 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $4,897.79 Typical High $6,309.57 | Facility | None | $1,778.28 | $4,897.79 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $1,023.29 Typical High $1,318.26 | Professional | None | $501.19 | $1,023.29 | $1,318.26 |
Hally Health Setting Professional Modifier None Typical Low $457.09 Median $660.69 Typical High $1,949.84 | Professional | None | $457.09 | $660.69 | $1,949.84 |
Medica Setting Facility Modifier None Typical Low $588.84 Median $1,621.81 Typical High $12,302.69 | Facility | None | $588.84 | $1,621.81 | $12,302.69 |
Medica Setting Professional Modifier None Typical Low $562.34 Median $1,071.52 Typical High $4,466.84 | Professional | None | $562.34 | $1,071.52 | $4,466.84 |
Midlands Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,318.26 | Professional | None | $1,023.29 | $1,023.29 | $1,318.26 |
Midlands Setting Facility Modifier None Typical Low $1,778.28 Median $4,897.79 Typical High $6,309.57 | Facility | None | $1,778.28 | $4,897.79 | $6,309.57 |
Midlands Setting Professional Modifier None Typical Low $831.76 Median $1,258.93 Typical High $1,479.11 | Professional | None | $831.76 | $1,258.93 | $1,479.11 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,630.78 Typical High $15,488.17 | Facility | None | $1,258.93 | $3,630.78 | $15,488.17 |
United Setting Professional Modifier None Typical Low $501.19 Median $707.95 Typical High $1,348.96 | Professional | None | $501.19 | $707.95 | $1,348.96 |
Wellmark Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,000.00 | Professional | None | $891.25 | $891.25 | $1,000.00 |
1 more rate 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 54 · Surgery only Typical Low $346.74 Median $630.96 Typical High $630.96 | Professional | 54 · Surgery only | $346.74 | $630.96 | $630.96 |
Where Iowa sits
The same service costs 4.6 times more in Alaska than in Utah. 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.
Iowa· 6th of 51
$1,000
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.