How much rates vary
Facilitymedian $759 · 10th to 90th $204 to $3,802Professionalmedian $251 · 10th to 90th $129 to $603
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 $316.23 Median $2,630.27 Typical High $6,760.83 | Facility | None | $316.23 | $2,630.27 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $208.93 Typical High $316.23 | Professional | None | $81.28 | $208.93 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $660.69 Typical High $812.83 | Facility | None | $575.44 | $660.69 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $257.04 Typical High $537.03 | Professional | None | $190.55 | $257.04 | $537.03 |
Hally Health Setting Professional Modifier None Typical Low $81.28 Median $223.87 Typical High $741.31 | Professional | None | $81.28 | $223.87 | $741.31 |
Medica Setting Facility Modifier None Typical Low $199.53 Median $588.84 Typical High $2,089.30 | Facility | None | $199.53 | $588.84 | $2,089.30 |
Medica Setting Professional Modifier None Typical Low $186.21 Median $416.87 Typical High $1,698.24 | Professional | None | $186.21 | $416.87 | $1,698.24 |
Midlands Setting Professional Modifier None Typical Low $162.18 Median $407.38 Typical High $478.63 | Professional | None | $162.18 | $407.38 | $478.63 |
Midlands Setting Facility Modifier None Typical Low $467.74 Median $645.65 Typical High $812.83 | Facility | None | $467.74 | $645.65 | $812.83 |
Midlands Setting Professional Modifier None Typical Low $208.93 Median $331.13 Typical High $660.69 | Professional | None | $208.93 | $331.13 | $660.69 |
Oscar Health Setting Professional Modifier None Typical Low $83.18 Median $186.21 Typical High $549.54 | Professional | None | $83.18 | $186.21 | $549.54 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,659.59 Typical High $4,073.80 | Facility | None | $501.19 | $1,659.59 | $4,073.80 |
United Setting Professional Modifier None Typical Low $97.72 Median $208.93 Typical High $478.63 | Professional | None | $97.72 | $208.93 | $478.63 |
Wellmark Setting Professional Modifier None Typical Low $151.36 Median $416.87 Typical High $616.60 | Professional | None | $151.36 | $416.87 | $616.60 |
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 $39.81 Median $91.20 Typical High $158.49 | Professional | 52 · Reduced service | $39.81 | $91.20 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $36.31 Typical High $63.10 | Professional | 53 · Discontinued | $15.85 | $36.31 | $63.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $60.26 Median $134.90 Typical High $234.42 | Professional | 54 · Surgery only | $60.26 | $134.90 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $26.92 Typical High $47.86 | Professional | 55 · Aftercare only | $12.02 | $26.92 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $18.20 Typical High $31.62 | Professional | 56 · Pre-op care only | $7.94 | $18.20 | $31.62 |
Where Iowa sits
The same service costs 8.2 times more in Hawaii than in Michigan. 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
HI $3,114MI $379
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.