How much rates vary
Facilitymedian $2,291 · 10th to 90th $525 to $7,079Professionalmedian $550 · 10th to 90th $219 to $1,288
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 $602.56 Median $2,630.27 Typical High $6,760.83 | Facility | None | $602.56 | $2,630.27 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $398.11 Typical High $724.44 | Professional | None | $131.83 | $398.11 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $2,290.87 Typical High $2,818.38 | Facility | None | $645.65 | $2,290.87 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $407.38 Typical High $1,047.13 | Professional | None | $295.12 | $407.38 | $1,047.13 |
Hally Health Setting Professional Modifier None Typical Low $120.23 Median $575.44 Typical High $1,047.13 | Professional | None | $120.23 | $575.44 | $1,047.13 |
Medica Setting Facility Modifier None Typical Low $363.08 Median $1,258.93 Typical High $7,079.46 | Facility | None | $363.08 | $1,258.93 | $7,079.46 |
Medica Setting Professional Modifier None Typical Low $295.12 Median $954.99 Typical High $3,311.31 | Professional | None | $295.12 | $954.99 | $3,311.31 |
Midlands Setting Professional Modifier None Typical Low $295.12 Median $831.76 Typical High $1,122.02 | Professional | None | $295.12 | $831.76 | $1,122.02 |
Midlands Setting Facility Modifier None Typical Low $1,412.54 Median $2,290.87 Typical High $2,818.38 | Facility | None | $1,412.54 | $2,290.87 | $2,818.38 |
Midlands Setting Professional Modifier None Typical Low $338.84 Median $891.25 Typical High $1,230.27 | Professional | None | $338.84 | $891.25 | $1,230.27 |
Oscar Health Setting Professional Modifier None Typical Low $131.83 Median $302.00 Typical High $954.99 | Professional | None | $131.83 | $302.00 | $954.99 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,630.78 Typical High $7,585.78 | Facility | None | $1,258.93 | $3,630.78 | $7,585.78 |
United Setting Professional Modifier None Typical Low $144.54 Median $398.11 Typical High $977.24 | Professional | None | $144.54 | $398.11 | $977.24 |
Wellmark Setting Professional Modifier None Typical Low $269.15 Median $309.03 Typical High $1,148.15 | Professional | None | $269.15 | $309.03 | $1,148.15 |
6 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 $66.07 Median $186.21 Typical High $363.08 | Professional | 52 · Reduced service | $66.07 | $186.21 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $74.13 Typical High $144.54 | Professional | 53 · Discontinued | $26.30 | $74.13 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $97.72 Median $275.42 Typical High $537.03 | Professional | 54 · Surgery only | $97.72 | $275.42 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $54.95 Typical High $107.15 | Professional | 55 · Aftercare only | $19.50 | $54.95 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $37.15 Typical High $72.44 | Professional | 56 · Pre-op care only | $13.18 | $37.15 | $72.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $91.20 Median $257.04 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $91.20 | $257.04 | $501.19 |
Where Iowa sits
The same service costs 5.6 times more in Colorado 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
CO $4,763ND $853
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.