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 $3,630.78 Median $5,888.44 Typical High $7,943.28 | Facility | None | $3,630.78 | $5,888.44 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $1,995.26 Median $3,630.78 Typical High $3,630.78 | Professional | None | $1,995.26 | $3,630.78 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $2,344.23 Median $5,011.87 Typical High $6,165.95 | Professional | None | $2,344.23 | $5,011.87 | $6,165.95 |
Hally Health Setting Professional Modifier None Typical Low $2,041.74 Median $2,884.03 Typical High $6,918.31 | Professional | None | $2,041.74 | $2,884.03 | $6,918.31 |
Medica Setting Facility Modifier None Typical Low $588.84 Median $3,467.37 Typical High $6,025.60 | Facility | None | $588.84 | $3,467.37 | $6,025.60 |
Medica Setting Professional Modifier None Typical Low $2,511.89 Median $4,897.79 Typical High $18,620.87 | Professional | None | $2,511.89 | $4,897.79 | $18,620.87 |
Midlands Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $6,165.95 | Professional | None | $5,011.87 | $5,011.87 | $6,165.95 |
Midlands Setting Professional Modifier None Typical Low $3,981.07 Median $5,495.41 Typical High $6,918.31 | Professional | None | $3,981.07 | $5,495.41 | $6,918.31 |
Oscar Health Setting Professional Modifier None Typical Low $2,238.72 Median $4,168.69 Typical High $5,248.07 | Professional | None | $2,238.72 | $4,168.69 | $5,248.07 |
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 $2,344.23 Median $3,162.28 Typical High $6,025.60 | Professional | None | $2,344.23 | $3,162.28 | $6,025.60 |
Wellmark Setting Professional Modifier None Typical Low $4,570.88 Median $4,570.88 Typical High $5,128.61 | Professional | None | $4,570.88 | $4,570.88 | $5,128.61 |
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 $1,513.56 Median $2,691.53 Typical High $2,691.53 | Professional | 54 · Surgery only | $1,513.56 | $2,691.53 | $2,691.53 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,412.54 Median $2,511.89 Typical High $2,511.89 | Professional | 78 · Unplanned return to OR | $1,412.54 | $2,511.89 | $2,511.89 |
Where Iowa sits
The same service costs 21.9 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· 3rd of 51
$4,786
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.