How much rates vary
Facilitymedian $1,514 · 10th to 90th $347 to $5,495Professionalmedian $407 · 10th to 90th $204 to $1,096
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 $602.56 Median $2,630.27 Typical High $6,760.83 | Facility | None | $602.56 | $2,630.27 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $263.03 Typical High $630.96 | Professional | None | $131.83 | $263.03 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,412.54 Typical High $1,737.80 | Facility | None | $645.65 | $1,412.54 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $407.38 Typical High $912.01 | Professional | None | $257.04 | $407.38 | $912.01 |
Hally Health Setting Professional Modifier None Typical Low $120.23 Median $302.00 Typical High $707.95 | Professional | None | $120.23 | $302.00 | $707.95 |
Medica Setting Facility Modifier None Typical Low $257.04 Median $1,047.13 Typical High $5,011.87 | Facility | None | $257.04 | $1,047.13 | $5,011.87 |
Medica Setting Professional Modifier None Typical Low $213.80 Median $776.25 Typical High $2,818.38 | Professional | None | $213.80 | $776.25 | $2,818.38 |
Midlands Setting Professional Modifier None Typical Low $257.04 Median $676.08 Typical High $954.99 | Professional | None | $257.04 | $676.08 | $954.99 |
Midlands Setting Facility Modifier None Typical Low $851.14 Median $1,380.38 Typical High $1,737.80 | Facility | None | $851.14 | $1,380.38 | $1,737.80 |
Midlands Setting Professional Modifier None Typical Low $323.59 Median $616.60 Typical High $1,071.52 | Professional | None | $323.59 | $616.60 | $1,071.52 |
Oscar Health Setting Professional Modifier None Typical Low $131.83 Median $295.12 Typical High $851.14 | Professional | None | $131.83 | $295.12 | $851.14 |
United Setting Facility Modifier None Typical Low $724.44 Median $2,951.21 Typical High $5,888.44 | Facility | None | $724.44 | $2,951.21 | $5,888.44 |
United Setting Professional Modifier None Typical Low $147.91 Median $331.13 Typical High $831.76 | Professional | None | $147.91 | $331.13 | $831.76 |
Wellmark Setting Professional Modifier None Typical Low $257.04 Median $302.00 Typical High $1,023.29 | Professional | None | $257.04 | $302.00 | $1,023.29 |
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 $66.07 Median $107.15 Typical High $316.23 | Professional | 52 · Reduced service | $66.07 | $107.15 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $43.65 Typical High $125.89 | Professional | 53 · Discontinued | $26.92 | $43.65 | $125.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $100.00 Median $162.18 Typical High $467.74 | Professional | 54 · Surgery only | $100.00 | $162.18 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $32.36 Typical High $93.33 | Professional | 55 · Aftercare only | $19.95 | $32.36 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $21.38 Typical High $63.10 | Professional | 56 · Pre-op care only | $13.49 | $21.38 | $63.10 |
Where Iowa sits
The same service costs 5.7 times more in Colorado 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
CO $4,090MT $722
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.