How much rates vary
Facilitymedian $2,818 · 10th to 90th $851 to $9,333Professionalmedian $891 · 10th to 90th $490 to $1,514
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 $363.08 Median $512.86 Typical High $630.96 | Professional | None | $363.08 | $512.86 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $4,265.80 Typical High $5,370.32 | Facility | None | $645.65 | $4,265.80 | $5,370.32 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $954.99 Typical High $1,230.27 | Professional | None | $776.25 | $954.99 | $1,230.27 |
Hally Health Setting Professional Modifier None Typical Low $323.59 Median $616.60 Typical High $1,230.27 | Professional | None | $323.59 | $616.60 | $1,230.27 |
Medica Setting Facility Modifier None Typical Low $851.14 Median $1,202.26 Typical High $10,471.29 | Facility | None | $851.14 | $1,202.26 | $10,471.29 |
Medica Setting Professional Modifier None Typical Low $645.65 Median $1,047.13 Typical High $2,570.40 | Professional | None | $645.65 | $1,047.13 | $2,570.40 |
Midlands Setting Professional Modifier None Typical Low $776.25 Median $954.99 Typical High $1,148.15 | Professional | None | $776.25 | $954.99 | $1,148.15 |
Midlands Setting Facility Modifier None Typical Low $1,862.09 Median $4,168.69 Typical High $5,370.32 | Facility | None | $1,862.09 | $4,168.69 | $5,370.32 |
Midlands Setting Professional Modifier None Typical Low $691.83 Median $933.25 Typical High $1,318.26 | Professional | None | $691.83 | $933.25 | $1,318.26 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,630.78 Typical High $14,125.38 | Facility | None | $1,258.93 | $3,630.78 | $14,125.38 |
United Setting Professional Modifier None Typical Low $407.38 Median $676.08 Typical High $1,202.26 | Professional | None | $407.38 | $676.08 | $1,202.26 |
Wellmark Setting Professional Modifier None Typical Low $616.60 Median $724.44 Typical High $1,047.13 | Professional | None | $616.60 | $724.44 | $1,047.13 |
5 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 $181.97 Median $257.04 Typical High $316.23 | Professional | 52 · Reduced service | $181.97 | $257.04 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $102.33 Typical High $125.89 | Professional | 53 · Discontinued | $72.44 | $102.33 | $125.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $389.05 Typical High $478.63 | Professional | 54 · Surgery only | $269.15 | $389.05 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $77.62 Typical High $95.50 | Professional | 55 · Aftercare only | $53.70 | $77.62 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $51.29 Typical High $63.10 | Professional | 56 · Pre-op care only | $36.31 | $51.29 | $63.10 |
Where Iowa sits
The same service costs 6.3 times more in Colorado than in Montana. 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.
Physician feeFacility fee
CO $7,350MT $1,166
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.