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 $1,096.48 Median $3,548.13 Typical High $6,760.83 | Facility | None | $1,096.48 | $3,548.13 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $1,096.48 Typical High $1,096.48 | Professional | None | $616.60 | $1,096.48 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $6,165.95 Typical High $8,128.31 | Facility | None | $562.34 | $6,165.95 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $1,513.56 Typical High $1,862.09 | Professional | None | $676.08 | $1,513.56 | $1,862.09 |
Hally Health Setting Professional Modifier None Typical Low $602.56 Median $870.96 Typical High $2,041.74 | Professional | None | $602.56 | $870.96 | $2,041.74 |
Medica Setting Facility Modifier None Typical Low $707.95 Median $3,388.44 Typical High $12,589.25 | Facility | None | $707.95 | $3,388.44 | $12,589.25 |
Medica Setting Professional Modifier None Typical Low $741.31 Median $1,445.44 Typical High $4,897.79 | Professional | None | $741.31 | $1,445.44 | $4,897.79 |
Midlands Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,862.09 | Professional | None | $1,513.56 | $1,513.56 | $1,862.09 |
Midlands Setting Facility Modifier None Typical Low $562.34 Median $5,754.40 Typical High $8,128.31 | Facility | None | $562.34 | $5,754.40 | $8,128.31 |
Midlands Setting Professional Modifier None Typical Low $1,230.27 Median $1,659.59 Typical High $2,089.30 | Professional | None | $1,230.27 | $1,659.59 | $2,089.30 |
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 $676.08 Median $933.25 Typical High $1,778.28 | Professional | None | $676.08 | $933.25 | $1,778.28 |
Wellmark Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,513.56 | Professional | None | $1,380.38 | $1,380.38 | $1,513.56 |
2 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 54 · Surgery only Typical Low $457.09 Median $831.76 Typical High $831.76 | Professional | 54 · Surgery only | $457.09 | $831.76 | $831.76 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $776.25 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $426.58 | $776.25 | $776.25 |
Where Iowa sits
The same service costs 24.0 times more in Alaska than in Texas. 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
$1,514
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.