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 $3,388.44 Typical High $6,760.83 | Facility | None | $602.56 | $3,388.44 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $1,659.59 Typical High $3,311.31 | Professional | None | $234.42 | $1,659.59 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,621.81 Typical High $2,089.30 | Facility | None | $1,230.27 | $1,621.81 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $707.95 Typical High $6,606.93 | Professional | None | $512.86 | $707.95 | $6,606.93 |
Hally Health Setting Professional Modifier None Typical Low $208.93 Median $398.11 Typical High $3,388.44 | Professional | None | $208.93 | $398.11 | $3,388.44 |
Medica Setting Facility Modifier None Typical Low $575.44 Median $2,884.03 Typical High $5,888.44 | Facility | None | $575.44 | $2,884.03 | $5,888.44 |
Medica Setting Professional Modifier None Typical Low $549.54 Median $4,168.69 Typical High $8,709.64 | Professional | None | $549.54 | $4,168.69 | $8,709.64 |
Midlands Setting Professional Modifier None Typical Low $512.86 Median $4,168.69 Typical High $6,606.93 | Professional | None | $512.86 | $4,168.69 | $6,606.93 |
Midlands Setting Facility Modifier None Typical Low $1,174.90 Median $1,659.59 Typical High $2,089.30 | Facility | None | $1,174.90 | $1,659.59 | $2,089.30 |
Midlands Setting Professional Modifier None Typical Low $446.68 Median $758.58 Typical High $7,762.47 | Professional | None | $446.68 | $758.58 | $7,762.47 |
United Setting Facility Modifier None Typical Low $724.44 Median $3,090.30 Typical High $6,165.95 | Facility | None | $724.44 | $3,090.30 | $6,165.95 |
United Setting Professional Modifier None Typical Low $275.42 Median $1,698.24 Typical High $4,897.79 | Professional | None | $275.42 | $1,698.24 | $4,897.79 |
Wellmark Setting Professional Modifier None Typical Low $407.38 Median $478.63 Typical High $5,623.41 | Professional | None | $407.38 | $478.63 | $5,623.41 |
2 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 54 · Surgery only Typical Low $173.78 Median $380.19 Typical High $2,454.71 | Professional | 54 · Surgery only | $173.78 | $380.19 | $2,454.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $162.18 Median $354.81 Typical High $2,290.87 | Professional | 78 · Unplanned return to OR | $162.18 | $354.81 | $2,290.87 |
Where Iowa sits
The same service costs 7.1 times more in Oregon than in Texas. 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
$2,692
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.