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 $630.96 Median $4,365.16 Typical High $7,079.46 | Facility | None | $630.96 | $4,365.16 | $7,079.46 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $630.96 Typical High $831.76 | Professional | None | $346.74 | $630.96 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $870.96 Typical High $1,071.52 | Professional | None | $426.58 | $870.96 | $1,071.52 |
Hally Health Setting Professional Modifier None Typical Low $354.81 Median $501.19 Typical High $1,258.93 | Professional | None | $354.81 | $501.19 | $1,258.93 |
Medica Setting Facility Modifier None Typical Low $467.74 Median $1,071.52 Typical High $14,125.38 | Facility | None | $467.74 | $1,071.52 | $14,125.38 |
Medica Setting Professional Modifier None Typical Low $436.52 Median $851.14 Typical High $3,162.28 | Professional | None | $436.52 | $851.14 | $3,162.28 |
Midlands Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,071.52 | Professional | None | $870.96 | $870.96 | $1,071.52 |
Midlands Setting Professional Modifier None Typical Low $691.83 Median $870.96 Typical High $1,071.52 | Professional | None | $691.83 | $870.96 | $1,071.52 |
United Setting Facility Modifier None Typical Low $7,413.10 Median $10,715.19 Typical High $16,982.44 | Facility | None | $7,413.10 | $10,715.19 | $16,982.44 |
United Setting Professional Modifier None Typical Low $407.38 Median $549.54 Typical High $1,047.13 | Professional | None | $407.38 | $549.54 | $1,047.13 |
Wellmark Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $891.25 | Professional | None | $812.83 | $812.83 | $891.25 |
2 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 $263.03 Median $467.74 Typical High $467.74 | Professional | 54 · Surgery only | $263.03 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $245.47 Median $436.52 Typical High $436.52 | Professional | 78 · Unplanned return to OR | $245.47 | $436.52 | $436.52 |
Where Iowa sits
The same service costs 4.2 times more in Wyoming than in Utah. 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
$851
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.