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 $363.08 Median $2,630.27 Typical High $6,760.83 | Facility | None | $363.08 | $2,630.27 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $223.87 Typical High $363.08 | Professional | None | $114.82 | $223.87 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $338.84 Typical High $645.65 | Professional | None | $229.09 | $338.84 | $645.65 |
Hally Health Setting Professional Modifier None Typical Low $123.03 Median $309.03 Typical High $724.44 | Professional | None | $123.03 | $309.03 | $724.44 |
Medica Setting Facility Modifier None Typical Low $302.00 Median $588.84 Typical High $3,467.37 | Facility | None | $302.00 | $588.84 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $269.15 Median $588.84 Typical High $2,454.71 | Professional | None | $269.15 | $588.84 | $2,454.71 |
Midlands Setting Professional Modifier None Typical Low $269.15 Median $457.09 Typical High $645.65 | Professional | None | $269.15 | $457.09 | $645.65 |
Midlands Setting Professional Modifier None Typical Low $288.40 Median $575.44 Typical High $724.44 | Professional | None | $288.40 | $575.44 | $724.44 |
Oscar Health Setting Professional Modifier None Typical Low $112.20 Median $239.88 Typical High $512.86 | Professional | None | $112.20 | $239.88 | $512.86 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $2,089.30 Typical High $4,897.79 | Facility | None | $1,174.90 | $2,089.30 | $4,897.79 |
United Setting Professional Modifier None Typical Low $141.25 Median $309.03 Typical High $707.95 | Professional | None | $141.25 | $309.03 | $707.95 |
Wellmark Setting Professional Modifier None Typical Low $204.17 Median $251.19 Typical High $588.84 | Professional | None | $204.17 | $251.19 | $588.84 |
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 $57.54 Median $109.65 Typical High $181.97 | Professional | 52 · Reduced service | $57.54 | $109.65 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $43.65 Typical High $72.44 | Professional | 53 · Discontinued | $22.91 | $43.65 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $165.96 Typical High $269.15 | Professional | 54 · Surgery only | $87.10 | $165.96 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $33.11 Typical High $53.70 | Professional | 55 · Aftercare only | $17.38 | $33.11 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $21.88 Typical High $36.31 | Professional | 56 · Pre-op care only | $11.48 | $21.88 | $36.31 |
Where Iowa sits
The same service costs 3.4 times more in Alaska than in Virginia. 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· 6th of 51
$372
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.