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 $602.56 Median $2,951.21 Typical High $6,760.83 | Facility | None | $602.56 | $2,951.21 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $190.55 Typical High $190.55 | Professional | None | $102.33 | $190.55 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,230.27 | Facility | None | $1,148.15 | $1,148.15 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $263.03 Typical High $316.23 | Professional | None | $134.90 | $263.03 | $316.23 |
Hally Health Setting Professional Modifier None Typical Low $107.15 Median $154.88 Typical High $436.52 | Professional | None | $107.15 | $154.88 | $436.52 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $338.84 Typical High $4,677.35 | Facility | None | $151.36 | $338.84 | $4,677.35 |
Medica Setting Professional Modifier None Typical Low $134.90 Median $257.04 Typical High $1,148.15 | Professional | None | $134.90 | $257.04 | $1,148.15 |
Midlands Setting Professional Modifier None Typical Low $251.19 Median $263.03 Typical High $323.59 | Professional | None | $251.19 | $263.03 | $323.59 |
Midlands Setting Facility Modifier None Typical Low $1,148.15 Median $1,230.27 Typical High $1,348.96 | Facility | None | $1,148.15 | $1,230.27 | $1,348.96 |
Midlands Setting Professional Modifier None Typical Low $199.53 Median $281.84 Typical High $371.54 | Professional | None | $199.53 | $281.84 | $371.54 |
United Setting Facility Modifier None Typical Low $724.44 Median $2,754.23 Typical High $5,495.41 | Facility | None | $724.44 | $2,754.23 | $5,495.41 |
United Setting Professional Modifier None Typical Low $123.03 Median $177.83 Typical High $316.23 | Professional | None | $123.03 | $177.83 | $316.23 |
Wellmark Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $257.04 | Professional | None | $234.42 | $234.42 | $257.04 |
1 more rate 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 $79.43 Median $141.25 Typical High $141.25 | Professional | 54 · Surgery only | $79.43 | $141.25 | $141.25 |
Where Iowa sits
The same service costs 4.9 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
$257
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.