How much rates vary
Facilitymedian $2,291 · 10th to 90th $562 to $7,079Professionalmedian $646 · 10th to 90th $309 to $1,549
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 $181.97 Median $467.74 Typical High $912.01 | Professional | None | $181.97 | $467.74 | $912.01 |
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 $380.19 Median $562.34 Typical High $1,318.26 | Professional | None | $380.19 | $562.34 | $1,318.26 |
Hally Health Setting Professional Modifier None Typical Low $169.82 Median $691.83 Typical High $1,174.90 | Professional | None | $169.82 | $691.83 | $1,174.90 |
Medica Setting Facility Modifier None Typical Low $512.86 Median $1,479.11 Typical High $7,079.46 | Facility | None | $512.86 | $1,479.11 | $7,079.46 |
Medica Setting Professional Modifier None Typical Low $416.87 Median $1,202.26 Typical High $4,073.80 | Professional | None | $416.87 | $1,202.26 | $4,073.80 |
Midlands Setting Professional Modifier None Typical Low $416.87 Median $1,047.13 Typical High $1,380.38 | Professional | None | $416.87 | $1,047.13 | $1,380.38 |
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 $478.63 Median $1,047.13 Typical High $1,548.82 | Professional | None | $478.63 | $1,047.13 | $1,548.82 |
Oscar Health Setting Professional Modifier None Typical Low $190.55 Median $426.58 Typical High $1,258.93 | Professional | None | $190.55 | $426.58 | $1,258.93 |
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 $204.17 Median $524.81 Typical High $1,258.93 | Professional | None | $204.17 | $524.81 | $1,258.93 |
Wellmark Setting Professional Modifier None Typical Low $380.19 Median $436.52 Typical High $1,513.56 | Professional | None | $380.19 | $436.52 | $1,513.56 |
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 $93.33 Median $234.42 Typical High $457.09 | Professional | 52 · Reduced service | $93.33 | $234.42 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $93.33 Typical High $181.97 | Professional | 53 · Discontinued | $37.15 | $93.33 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $346.74 Typical High $691.83 | Professional | 54 · Surgery only | $138.04 | $346.74 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $69.18 Typical High $138.04 | Professional | 55 · Aftercare only | $27.54 | $69.18 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $46.77 Typical High $91.20 | Professional | 56 · Pre-op care only | $18.62 | $46.77 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $128.82 Median $323.59 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $128.82 | $323.59 | $645.65 |
Where Iowa sits
The same service costs 4.4 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 $4,844ND $1,099
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.