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 $100.00 Median $2,238.72 Typical High $6,760.83 | Facility | None | $100.00 | $2,238.72 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $120.23 Typical High $223.87 | Professional | None | $30.20 | $120.23 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $107.15 Typical High $371.54 | Professional | None | $66.07 | $107.15 | $371.54 |
Hally Health Setting Professional Modifier None Typical Low $27.54 Median $151.36 Typical High $281.84 | Professional | None | $27.54 | $151.36 | $281.84 |
Medica Setting Facility Modifier None Typical Low $79.43 Median $316.23 Typical High $1,380.38 | Facility | None | $79.43 | $316.23 | $1,380.38 |
Medica Setting Professional Modifier None Typical Low $74.13 Median $331.13 Typical High $1,000.00 | Professional | None | $74.13 | $331.13 | $1,000.00 |
Midlands Setting Professional Modifier None Typical Low $66.07 Median $257.04 Typical High $363.08 | Professional | None | $66.07 | $257.04 | $363.08 |
Midlands Setting Professional Modifier None Typical Low $58.88 Median $323.59 Typical High $380.19 | Professional | None | $58.88 | $323.59 | $380.19 |
Oscar Health Setting Professional Modifier None Typical Low $28.18 Median $63.10 Typical High $269.15 | Professional | None | $28.18 | $63.10 | $269.15 |
United Setting Facility Modifier None Typical Low $371.54 Median $758.58 Typical High $2,344.23 | Facility | None | $371.54 | $758.58 | $2,344.23 |
United Setting Professional Modifier None Typical Low $36.31 Median $131.83 Typical High $426.58 | Professional | None | $36.31 | $131.83 | $426.58 |
Wellmark Setting Professional Modifier None Typical Low $56.23 Median $66.07 Typical High $316.23 | Professional | None | $56.23 | $66.07 | $316.23 |
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 $22.91 Median $64.57 Typical High $165.96 | Professional | 54 · Surgery only | $22.91 | $64.57 | $165.96 |
Where Iowa sits
The same service costs 4.7 times more in Wisconsin 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.
Iowa· 2nd of 51
$219
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.