How much rates vary
Facilitymedian $2,754 · 10th to 90th $589 to $8,318Professionalmedian $490 · 10th to 90th $251 to $1,148
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 $416.87 Median $2,630.27 Typical High $6,760.83 | Facility | None | $416.87 | $2,630.27 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $354.81 Typical High $436.52 | Professional | None | $204.17 | $354.81 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $2,630.27 Typical High $3,388.44 | Facility | None | $645.65 | $2,630.27 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $489.78 Typical High $691.83 | Professional | None | $338.84 | $489.78 | $691.83 |
Hally Health Setting Professional Modifier None Typical Low $204.17 Median $524.81 Typical High $1,230.27 | Professional | None | $204.17 | $524.81 | $1,230.27 |
Medica Setting Facility Modifier None Typical Low $588.84 Median $2,344.23 Typical High $8,912.51 | Facility | None | $588.84 | $2,344.23 | $8,912.51 |
Medica Setting Professional Modifier None Typical Low $309.03 Median $575.44 Typical High $2,290.87 | Professional | None | $309.03 | $575.44 | $2,290.87 |
Midlands Setting Professional Modifier None Typical Low $478.63 Median $489.78 Typical High $602.56 | Professional | None | $478.63 | $489.78 | $602.56 |
Midlands Setting Facility Modifier None Typical Low $1,412.54 Median $2,630.27 Typical High $3,162.28 | Facility | None | $1,412.54 | $2,630.27 | $3,162.28 |
Midlands Setting Professional Modifier None Typical Low $478.63 Median $602.56 Typical High $741.31 | Professional | None | $478.63 | $602.56 | $741.31 |
Oscar Health Setting Professional Modifier None Typical Low $218.78 Median $398.11 Typical High $512.86 | Professional | None | $218.78 | $398.11 | $512.86 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $4,365.16 Typical High $9,772.37 | Facility | None | $1,380.38 | $4,365.16 | $9,772.37 |
United Setting Professional Modifier None Typical Low $229.09 Median $446.68 Typical High $691.83 | Professional | None | $229.09 | $446.68 | $691.83 |
Wellmark Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $489.78 | Professional | None | $446.68 | $446.68 | $489.78 |
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 $100.00 Median $177.83 Typical High $177.83 | Professional | 52 · Reduced service | $100.00 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $70.79 Typical High $70.79 | Professional | 53 · Discontinued | $40.74 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $269.15 Typical High $269.15 | Professional | 54 · Surgery only | $151.36 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $53.70 Typical High $53.70 | Professional | 55 · Aftercare only | $30.20 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $35.48 Typical High $35.48 | Professional | 56 · Pre-op care only | $19.95 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $141.25 Median $251.19 Typical High $251.19 | Professional | 78 · Unplanned return to OR | $141.25 | $251.19 | $251.19 |
Where Iowa sits
The same service costs 4.6 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· 9th of 51
$490
AK $891UT $195
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.