How much rates vary
Facilitymedian $1,862 · 10th to 90th $372 to $4,677Professionalmedian $1,445 · 10th to 90th $200 to $3,548
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 $3,388.44 Typical High $6,760.83 | Facility | None | $602.56 | $3,388.44 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $870.96 Typical High $1,995.26 | Professional | None | $117.49 | $870.96 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $1,412.54 Typical High $1,548.82 | Facility | None | $1,122.02 | $1,412.54 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $1,071.52 Typical High $2,884.03 | Professional | None | $263.03 | $1,071.52 | $2,884.03 |
Hally Health Setting Professional Modifier None Typical Low $117.49 Median $1,071.52 Typical High $1,621.81 | Professional | None | $117.49 | $1,071.52 | $1,621.81 |
Medica Setting Facility Modifier None Typical Low $309.03 Median $1,778.28 Typical High $3,981.07 | Facility | None | $309.03 | $1,778.28 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $257.04 Median $2,630.27 Typical High $9,120.11 | Professional | None | $257.04 | $2,630.27 | $9,120.11 |
Midlands Setting Professional Modifier None Typical Low $263.03 Median $2,290.87 Typical High $3,019.95 | Professional | None | $263.03 | $2,290.87 | $3,019.95 |
Midlands Setting Facility Modifier None Typical Low $1,122.02 Median $1,412.54 Typical High $1,548.82 | Facility | None | $1,122.02 | $1,412.54 | $1,548.82 |
Midlands Setting Professional Modifier None Typical Low $316.23 Median $2,398.83 Typical High $3,548.13 | Professional | None | $316.23 | $2,398.83 | $3,548.13 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,949.84 Typical High $4,897.79 | Facility | None | $501.19 | $1,949.84 | $4,897.79 |
United Setting Professional Modifier None Typical Low $141.25 Median $933.25 Typical High $2,754.23 | Professional | None | $141.25 | $933.25 | $2,754.23 |
Wellmark Setting Professional Modifier None Typical Low $234.42 Median $269.15 Typical High $2,951.21 | Professional | None | $234.42 | $269.15 | $2,951.21 |
5 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 $58.88 Median $173.78 Typical High $1,000.00 | Professional | 52 · Reduced service | $58.88 | $173.78 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $69.18 Typical High $398.11 | Professional | 53 · Discontinued | $23.99 | $69.18 | $398.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $89.13 Median $263.03 Typical High $1,479.11 | Professional | 54 · Surgery only | $89.13 | $263.03 | $1,479.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $52.48 Typical High $295.12 | Professional | 55 · Aftercare only | $17.78 | $52.48 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $34.67 Typical High $199.53 | Professional | 56 · Pre-op care only | $11.75 | $34.67 | $199.53 |
Where Iowa sits
The same service costs 5.5 times more in Hawaii than in Maryland. 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
HI $4,440MD $808
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.