How much rates vary
Facilitymedian $977 · 10th to 90th $457 to $4,786Professionalmedian $407 · 10th to 90th $174 to $871
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 $302.00 Median $2,290.87 Typical High $6,760.83 | Facility | None | $302.00 | $2,290.87 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $309.03 Typical High $524.81 | Professional | None | $158.49 | $309.03 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $104.71 Typical High $169.82 | Professional | 53 · Discontinued | $51.29 | $104.71 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $812.83 Typical High $1,000.00 | Facility | None | $645.65 | $812.83 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $436.52 Typical High $758.58 | Professional | None | $309.03 | $436.52 | $758.58 |
Cigna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $302.00 Typical High $371.54 | Professional | 53 · Discontinued | $173.78 | $302.00 | $371.54 |
Hally Health Setting Professional Modifier None Typical Low $144.54 Median $426.58 Typical High $891.25 | Professional | None | $144.54 | $426.58 | $891.25 |
Medica Setting Facility Modifier None Typical Low $436.52 Median $851.14 Typical High $3,467.37 | Facility | None | $436.52 | $851.14 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $338.84 Median $691.83 Typical High $2,344.23 | Professional | None | $338.84 | $691.83 | $2,344.23 |
Midlands Setting Professional Modifier None Typical Low $346.74 Median $602.56 Typical High $794.33 | Professional | None | $346.74 | $602.56 | $794.33 |
Midlands Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $302.00 Typical High $398.11 | Professional | 53 · Discontinued | $173.78 | $302.00 | $398.11 |
Midlands Setting Facility Modifier None Typical Low $616.60 Median $794.33 Typical High $1,000.00 | Facility | None | $616.60 | $794.33 | $1,000.00 |
Midlands Setting Professional Modifier None Typical Low $416.87 Median $645.65 Typical High $870.96 | Professional | None | $416.87 | $645.65 | $870.96 |
Oscar Health Setting Professional Modifier None Typical Low $120.23 Median $281.84 Typical High $660.69 | Professional | None | $120.23 | $281.84 | $660.69 |
United Setting Facility Modifier None Typical Low $724.44 Median $2,454.71 Typical High $5,495.41 | Facility | None | $724.44 | $2,454.71 | $5,495.41 |
United Setting Professional Modifier None Typical Low $181.97 Median $363.08 Typical High $724.44 | Professional | None | $181.97 | $363.08 | $724.44 |
Wellmark Setting Professional Modifier None Typical Low $309.03 Median $363.08 Typical High $870.96 | Professional | None | $309.03 | $363.08 | $870.96 |
4 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 $75.86 Median $128.82 Typical High $154.88 | Professional | 52 · Reduced service | $75.86 | $128.82 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $204.17 Typical High $389.05 | Professional | 54 · Surgery only | $120.23 | $204.17 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $40.74 Typical High $77.62 | Professional | 55 · Aftercare only | $23.99 | $40.74 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $27.54 Typical High $52.48 | Professional | 56 · Pre-op care only | $15.85 | $27.54 | $52.48 |
Where Iowa sits
The same service costs 4.7 times more in Connecticut than in North Dakota. 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
CT $3,190ND $672
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.