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 $2,630.27 Typical High $6,760.83 | Facility | None | $602.56 | $2,630.27 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $676.08 Typical High $1,047.13 | Professional | None | $165.96 | $676.08 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,122.02 Typical High $1,513.56 | Facility | None | $501.19 | $1,122.02 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $1,380.38 Typical High $2,089.30 | Professional | None | $363.08 | $1,380.38 | $2,089.30 |
Hally Health Setting Professional Modifier None Typical Low $151.36 Median $281.84 Typical High $1,513.56 | Professional | None | $151.36 | $281.84 | $1,513.56 |
Medica Setting Facility Modifier None Typical Low $426.58 Median $1,621.81 Typical High $5,248.07 | Facility | None | $426.58 | $1,621.81 | $5,248.07 |
Medica Setting Professional Modifier None Typical Low $398.11 Median $1,584.89 Typical High $5,495.41 | Professional | None | $398.11 | $1,584.89 | $5,495.41 |
Midlands Setting Professional Modifier None Typical Low $363.08 Median $1,621.81 Typical High $2,089.30 | Professional | None | $363.08 | $1,621.81 | $2,089.30 |
Midlands Setting Facility Modifier None Typical Low $501.19 Median $1,047.13 Typical High $1,513.56 | Facility | None | $501.19 | $1,047.13 | $1,513.56 |
Midlands Setting Professional Modifier None Typical Low $331.13 Median $489.78 Typical High $2,398.83 | Professional | None | $331.13 | $489.78 | $2,398.83 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,388.44 Typical High $6,606.93 | Facility | None | $1,258.93 | $3,388.44 | $6,606.93 |
United Setting Professional Modifier None Typical Low $190.55 Median $645.65 Typical High $2,089.30 | Professional | None | $190.55 | $645.65 | $2,089.30 |
Wellmark Setting Professional Modifier None Typical Low $288.40 Median $338.84 Typical High $1,778.28 | Professional | None | $288.40 | $338.84 | $1,778.28 |
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 $125.89 Median $275.42 Typical High $794.33 | Professional | 54 · Surgery only | $125.89 | $275.42 | $794.33 |
Where Iowa sits
The same service costs 4.0 times more in Wisconsin than in Nebraska. 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
$1,202
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.