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 $676.08 Median $4,677.35 Typical High $7,244.36 | Facility | None | $676.08 | $4,677.35 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $676.08 Typical High $676.08 | Professional | None | $371.54 | $676.08 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $933.25 Typical High $1,122.02 | Professional | None | $457.09 | $933.25 | $1,122.02 |
Hally Health Setting Professional Modifier None Typical Low $380.19 Median $537.03 Typical High $1,258.93 | Professional | None | $380.19 | $537.03 | $1,258.93 |
Medica Setting Facility Modifier None Typical Low $501.19 Median $1,148.15 Typical High $14,125.38 | Facility | None | $501.19 | $1,148.15 | $14,125.38 |
Medica Setting Professional Modifier None Typical Low $467.74 Median $912.01 Typical High $3,388.44 | Professional | None | $467.74 | $912.01 | $3,388.44 |
Midlands Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,148.15 | Professional | None | $933.25 | $933.25 | $1,148.15 |
Midlands Setting Professional Modifier None Typical Low $741.31 Median $912.01 Typical High $1,148.15 | Professional | None | $741.31 | $912.01 | $1,148.15 |
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 $426.58 Median $588.84 Typical High $1,122.02 | Professional | None | $426.58 | $588.84 | $1,122.02 |
Wellmark Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $954.99 | Professional | None | $851.14 | $851.14 | $954.99 |
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 $281.84 Median $501.19 Typical High $501.19 | Professional | 54 · Surgery only | $281.84 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $467.74 Typical High $467.74 | Professional | 78 · Unplanned return to OR | $263.03 | $467.74 | $467.74 |
Where Iowa sits
The same service costs 4.4 times more in Alaska 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· 4th of 51
$912
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.