How much rates vary
Facilitymedian $2,630 · 10th to 90th $589 to $7,586Professionalmedian $1,072 · 10th to 90th $316 to $2,399
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 $398.11 Median $3,090.30 Typical High $6,760.83 | Facility | None | $398.11 | $3,090.30 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $691.83 Typical High $1,380.38 | Professional | None | $194.98 | $691.83 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $2,818.38 Typical High $3,388.44 | Facility | None | $954.99 | $2,818.38 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $630.96 Typical High $2,187.76 | Professional | None | $467.74 | $630.96 | $2,187.76 |
Hally Health Setting Professional Modifier None Typical Low $186.21 Median $1,000.00 Typical High $2,398.83 | Professional | None | $186.21 | $1,000.00 | $2,398.83 |
Medica Setting Facility Modifier None Typical Low $537.03 Median $1,862.09 Typical High $7,762.47 | Facility | None | $537.03 | $1,862.09 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $512.86 Median $1,584.89 Typical High $5,128.61 | Professional | None | $512.86 | $1,584.89 | $5,128.61 |
Midlands Setting Professional Modifier None Typical Low $467.74 Median $1,621.81 Typical High $2,187.76 | Professional | None | $467.74 | $1,621.81 | $2,187.76 |
Midlands Setting Facility Modifier None Typical Low $1,174.90 Median $2,754.23 Typical High $3,388.44 | Facility | None | $1,174.90 | $2,754.23 | $3,388.44 |
Midlands Setting Professional Modifier None Typical Low $331.13 Median $616.60 Typical High $2,511.89 | Professional | None | $331.13 | $616.60 | $2,511.89 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,630.78 Typical High $9,332.54 | Facility | None | $1,258.93 | $3,630.78 | $9,332.54 |
United Setting Professional Modifier None Typical Low $234.42 Median $691.83 Typical High $2,187.76 | Professional | None | $234.42 | $691.83 | $2,187.76 |
Wellmark Setting Professional Modifier None Typical Low $354.81 Median $416.87 Typical High $1,778.28 | Professional | None | $354.81 | $416.87 | $1,778.28 |
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 $102.33 Median $229.09 Typical High $537.03 | Professional | 52 · Reduced service | $102.33 | $229.09 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $91.20 Typical High $213.80 | Professional | 53 · Discontinued | $41.69 | $91.20 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $346.74 Typical High $812.83 | Professional | 54 · Surgery only | $154.88 | $346.74 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $69.18 Typical High $162.18 | Professional | 55 · Aftercare only | $30.90 | $69.18 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $45.71 Typical High $107.15 | Professional | 56 · Pre-op care only | $20.89 | $45.71 | $107.15 |
Where Iowa sits
The same service costs 3.8 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 $5,124MT $1,344
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.