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 $1,148.15 Median $5,888.44 Typical High $7,943.28 | Facility | None | $1,148.15 | $5,888.44 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $1,148.15 Typical High $1,148.15 | Professional | None | $630.96 | $1,148.15 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $1,621.81 Typical High $3,630.78 | Professional | None | $776.25 | $1,621.81 | $3,630.78 |
Hally Health Setting Professional Modifier None Typical Low $416.87 Median $1,230.27 Typical High $2,691.53 | Professional | None | $416.87 | $1,230.27 | $2,691.53 |
Medica Setting Facility Modifier None Typical Low $562.34 Median $1,737.80 Typical High $5,888.44 | Facility | None | $562.34 | $1,737.80 | $5,888.44 |
Medica Setting Professional Modifier None Typical Low $537.03 Median $1,621.81 Typical High $5,248.07 | Professional | None | $537.03 | $1,621.81 | $5,248.07 |
Midlands Setting Professional Modifier None Typical Low $1,380.38 Median $1,621.81 Typical High $4,466.84 | Professional | None | $1,380.38 | $1,621.81 | $4,466.84 |
Midlands Setting Professional Modifier None Typical Low $776.25 Median $1,819.70 Typical High $4,466.84 | Professional | None | $776.25 | $1,819.70 | $4,466.84 |
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 $446.68 Median $776.25 Typical High $1,621.81 | Professional | None | $446.68 | $776.25 | $1,621.81 |
Wellmark Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,981.07 | Professional | None | $3,548.13 | $3,548.13 | $3,981.07 |
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 $467.74 Median $851.14 Typical High $851.14 | Professional | 54 · Surgery only | $467.74 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $794.33 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $436.52 | $794.33 | $794.33 |
Where Iowa sits
The same service costs 8.5 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.
Iowa· 6th of 51
$1,622
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.