How much rates vary
Facilitymedian $3,388 · 10th to 90th $603 to $7,586Professionalmedian $6,918 · 10th to 90th $3,631 to $10,000
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 $4,265.80 Median $5,888.44 Typical High $7,943.28 | Facility | None | $4,265.80 | $5,888.44 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $2,818.38 Median $5,128.61 Typical High $5,128.61 | Professional | None | $2,818.38 | $5,128.61 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $3,467.37 Median $7,079.46 Typical High $8,511.38 | Professional | None | $3,467.37 | $7,079.46 | $8,511.38 |
Hally Health Setting Professional Modifier None Typical Low $2,818.38 Median $4,168.69 Typical High $10,715.19 | Professional | None | $2,818.38 | $4,168.69 | $10,715.19 |
Medica Setting Facility Modifier None Typical Low $724.44 Median $3,801.89 Typical High $7,943.28 | Facility | None | $724.44 | $3,801.89 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $3,630.78 Median $6,918.31 Typical High $22,387.21 | Professional | None | $3,630.78 | $6,918.31 | $22,387.21 |
Midlands Setting Professional Modifier None Typical Low $7,079.46 Median $7,079.46 Typical High $8,709.64 | Professional | None | $7,079.46 | $7,079.46 | $8,709.64 |
Midlands Setting Professional Modifier None Typical Low $6,309.57 Median $8,511.38 Typical High $9,772.37 | Professional | None | $6,309.57 | $8,511.38 | $9,772.37 |
Oscar Health Setting Professional Modifier None Typical Low $3,162.28 Median $5,888.44 Typical High $7,413.10 | Professional | None | $3,162.28 | $5,888.44 | $7,413.10 |
United Setting Facility Modifier None Typical Low $588.84 Median $2,344.23 Typical High $6,918.31 | Facility | None | $588.84 | $2,344.23 | $6,918.31 |
United Setting Professional Modifier None Typical Low $3,311.31 Median $4,786.30 Typical High $8,511.38 | Professional | None | $3,311.31 | $4,786.30 | $8,511.38 |
Wellmark Setting Professional Modifier None Typical Low $6,456.54 Median $6,456.54 Typical High $7,244.36 | Professional | None | $6,456.54 | $6,456.54 | $7,244.36 |
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 $1,445.44 Median $2,570.40 Typical High $2,570.40 | Professional | 52 · Reduced service | $1,445.44 | $2,570.40 | $2,570.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $575.44 Median $1,023.29 Typical High $1,023.29 | Professional | 53 · Discontinued | $575.44 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,137.96 Median $3,801.89 Typical High $3,801.89 | Professional | 54 · Surgery only | $2,137.96 | $3,801.89 | $3,801.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $426.58 Median $776.25 Typical High $776.25 | Professional | 55 · Aftercare only | $426.58 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $288.40 Median $512.86 Typical High $512.86 | Professional | 56 · Pre-op care only | $288.40 | $512.86 | $512.86 |
Where Iowa sits
The same service costs 5.9 times more in Alaska than in Delaware. 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 $22,987DE $3,887
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.