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 $72.44 Median $2,630.27 Typical High $6,760.83 | Facility | None | $72.44 | $2,630.27 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $50.12 Typical High $109.65 | Professional | None | $33.11 | $50.12 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $38.90 Typical High $48.98 | Facility | None | $32.36 | $38.90 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $95.50 Typical High $117.49 | Professional | None | $74.13 | $95.50 | $117.49 |
Hally Health Setting Professional Modifier None Typical Low $30.90 Median $50.12 Typical High $147.91 | Professional | None | $30.90 | $50.12 | $147.91 |
Medica Setting Facility Modifier None Typical Low $52.48 Median $125.89 Typical High $1,148.15 | Facility | None | $52.48 | $125.89 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $58.88 Median $109.65 Typical High $380.19 | Professional | None | $58.88 | $109.65 | $380.19 |
Midlands Setting Professional Modifier None Typical Low $63.10 Median $95.50 Typical High $112.20 | Professional | None | $63.10 | $95.50 | $112.20 |
Midlands Setting Facility Modifier None Typical Low $29.51 Median $38.90 Typical High $48.98 | Facility | None | $29.51 | $38.90 | $48.98 |
Midlands Setting Professional Modifier None Typical Low $67.61 Median $95.50 Typical High $138.04 | Professional | None | $67.61 | $95.50 | $138.04 |
Oscar Health Setting Professional Modifier None Typical Low $33.11 Median $60.26 Typical High $107.15 | Professional | None | $33.11 | $60.26 | $107.15 |
United Setting Facility Modifier None Typical Low $223.87 Median $831.76 Typical High $1,995.26 | Facility | None | $223.87 | $831.76 | $1,995.26 |
United Setting Professional Modifier None Typical Low $39.81 Median $66.07 Typical High $120.23 | Professional | None | $39.81 | $66.07 | $120.23 |
Wellmark Setting Professional Modifier None Typical Low $60.26 Median $70.79 Typical High $117.49 | Professional | None | $60.26 | $70.79 | $117.49 |
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 $24.55 Median $36.31 Typical High $53.70 | Professional | 54 · Surgery only | $24.55 | $36.31 | $53.70 |
Where Iowa sits
The same service costs 3.3 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· 8th of 51
$75.86
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.