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 $288.40 Median $3,388.44 Typical High $6,760.83 | Facility | None | $288.40 | $3,388.44 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $194.98 Typical High $380.19 | Professional | None | $120.23 | $194.98 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $281.84 Typical High $346.74 | Facility | None | $204.17 | $281.84 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $416.87 Typical High $630.96 | Professional | None | $346.74 | $416.87 | $630.96 |
Hally Health Setting Professional Modifier None Typical Low $141.25 Median $263.03 Typical High $549.54 | Professional | None | $141.25 | $263.03 | $549.54 |
Medica Setting Facility Modifier None Typical Low $194.98 Median $436.52 Typical High $1,148.15 | Facility | None | $194.98 | $436.52 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $263.03 Median $457.09 Typical High $1,737.80 | Professional | None | $263.03 | $457.09 | $1,737.80 |
Midlands Setting Professional Modifier None Typical Low $346.74 Median $467.74 Typical High $630.96 | Professional | None | $346.74 | $467.74 | $630.96 |
Midlands Setting Facility Modifier None Typical Low $204.17 Median $281.84 Typical High $346.74 | Facility | None | $204.17 | $281.84 | $346.74 |
Midlands Setting Professional Modifier None Typical Low $295.12 Median $416.87 Typical High $707.95 | Professional | None | $295.12 | $416.87 | $707.95 |
Oscar Health Setting Professional Modifier None Typical Low $138.04 Median $257.04 Typical High $467.74 | Professional | None | $138.04 | $257.04 | $467.74 |
United Setting Facility Modifier None Typical Low $223.87 Median $812.83 Typical High $1,995.26 | Facility | None | $223.87 | $812.83 | $1,995.26 |
United Setting Professional Modifier None Typical Low $169.82 Median $323.59 Typical High $512.86 | Professional | None | $169.82 | $323.59 | $512.86 |
Wellmark Setting Professional Modifier None Typical Low $251.19 Median $295.12 Typical High $524.81 | Professional | None | $251.19 | $295.12 | $524.81 |
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 $117.49 Median $144.54 Typical High $218.78 | Professional | 54 · Surgery only | $117.49 | $144.54 | $218.78 |
Where Iowa sits
The same service costs 4.2 times more in Alaska than in Kentucky. 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· 5th of 51
$389
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.