How much rates vary
Facilitymedian $8,710 · 10th to 90th $871 to $37,154Professionalmedian $851 · 10th to 90th $427 to $1,230
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 $3,311.31 Typical High $6,760.83 | Facility | None | $602.56 | $3,311.31 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $537.03 Typical High $1,445.44 | Professional | None | $354.81 | $537.03 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $25,118.86 Typical High $32,359.37 | Facility | None | $954.99 | $25,118.86 | $32,359.37 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $870.96 Typical High $1,071.52 | Professional | None | $741.31 | $870.96 | $1,071.52 |
Hally Health Setting Professional Modifier None Typical Low $354.81 Median $575.44 Typical High $933.25 | Professional | None | $354.81 | $575.44 | $933.25 |
Medica Setting Facility Modifier None Typical Low $691.83 Median $6,760.83 Typical High $42,657.95 | Facility | None | $691.83 | $6,760.83 | $42,657.95 |
Medica Setting Professional Modifier None Typical Low $426.58 Median $912.01 Typical High $8,511.38 | Professional | None | $426.58 | $912.01 | $8,511.38 |
Midlands Setting Professional Modifier None Typical Low $741.31 Median $870.96 Typical High $1,000.00 | Professional | None | $741.31 | $870.96 | $1,000.00 |
Midlands Setting Facility Modifier None Typical Low $17,378.01 Median $25,118.86 Typical High $32,359.37 | Facility | None | $17,378.01 | $25,118.86 | $32,359.37 |
Midlands Setting Professional Modifier None Typical Low $741.31 Median $891.25 Typical High $1,659.59 | Professional | None | $741.31 | $891.25 | $1,659.59 |
United Setting Facility Modifier None Typical Low $3,548.13 Median $15,135.61 Typical High $47,863.01 | Facility | None | $3,548.13 | $15,135.61 | $47,863.01 |
United Setting Professional Modifier None Typical Low $380.19 Median $575.44 Typical High $1,071.52 | Professional | None | $380.19 | $575.44 | $1,071.52 |
Wellmark Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $870.96 | Professional | None | $741.31 | $741.31 | $870.96 |
6 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 $177.83 Median $269.15 Typical High $269.15 | Professional | 52 · Reduced service | $177.83 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $109.65 Typical High $109.65 | Professional | 53 · Discontinued | $70.79 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $407.38 Typical High $407.38 | Professional | 54 · Surgery only | $263.03 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $81.28 Typical High $81.28 | Professional | 55 · Aftercare only | $53.70 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $53.70 Typical High $53.70 | Professional | 56 · Pre-op care only | $35.48 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $245.47 Median $380.19 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $245.47 | $380.19 | $380.19 |
Where Iowa sits
The same service costs 29.4 times more in Alaska 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
AK $37,066MT $1,262
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.