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 $616.60 Median $5,888.44 Typical High $7,943.28 | Facility | None | $616.60 | $5,888.44 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $616.60 Typical High $616.60 | Professional | None | $346.74 | $616.60 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $851.14 Typical High $1,047.13 | Professional | None | $467.74 | $851.14 | $1,047.13 |
Hally Health Setting Professional Modifier None Typical Low $346.74 Median $645.65 Typical High $1,288.25 | Professional | None | $346.74 | $645.65 | $1,288.25 |
Medica Setting Facility Modifier None Typical Low $562.34 Median $912.01 Typical High $3,467.37 | Facility | None | $562.34 | $912.01 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $436.52 Median $831.76 Typical High $2,754.23 | Professional | None | $436.52 | $831.76 | $2,754.23 |
Midlands Setting Professional Modifier None Typical Low $812.83 Median $851.14 Typical High $1,047.13 | Professional | None | $812.83 | $851.14 | $1,047.13 |
Midlands Setting Professional Modifier None Typical Low $645.65 Median $933.25 Typical High $1,174.90 | Professional | None | $645.65 | $933.25 | $1,174.90 |
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 $398.11 Median $562.34 Typical High $1,023.29 | Professional | None | $398.11 | $562.34 | $1,023.29 |
Wellmark Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $851.14 | Professional | None | $758.58 | $758.58 | $851.14 |
3 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 $257.04 Median $457.09 Typical High $457.09 | Professional | 54 · Surgery only | $257.04 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $91.20 Typical High $91.20 | Professional | 55 · Aftercare only | $51.29 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $61.66 Typical High $61.66 | Professional | 56 · Pre-op care only | $34.67 | $61.66 | $61.66 |
Where Iowa sits
The same service costs 4.4 times more in Alaska than in New Jersey. 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· 5th of 51
$832
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.