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 $131.83 Median $2,630.27 Typical High $6,760.83 | Facility | None | $131.83 | $2,630.27 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $91.20 Typical High $138.04 | Professional | None | $58.88 | $91.20 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $199.53 | Facility | None | $186.21 | $186.21 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $177.83 Typical High $229.09 | Professional | None | $134.90 | $177.83 | $229.09 |
Hally Health Setting Professional Modifier None Typical Low $54.95 Median $97.72 Typical High $407.38 | Professional | None | $54.95 | $97.72 | $407.38 |
Medica Setting Facility Modifier None Typical Low $114.82 Median $213.80 Typical High $1,380.38 | Facility | None | $114.82 | $213.80 | $1,380.38 |
Medica Setting Professional Modifier None Typical Low $114.82 Median $213.80 Typical High $2,511.89 | Professional | None | $114.82 | $213.80 | $2,511.89 |
Midlands Setting Professional Modifier None Typical Low $114.82 Median $186.21 Typical High $218.78 | Professional | None | $114.82 | $186.21 | $218.78 |
Midlands Setting Facility Modifier None Typical Low $186.21 Median $199.53 Typical High $213.80 | Facility | None | $186.21 | $199.53 | $213.80 |
Midlands Setting Professional Modifier None Typical Low $120.23 Median $186.21 Typical High $257.04 | Professional | None | $120.23 | $186.21 | $257.04 |
United Setting Facility Modifier None Typical Low $158.49 Median $954.99 Typical High $1,995.26 | Facility | None | $158.49 | $954.99 | $1,995.26 |
United Setting Professional Modifier None Typical Low $70.79 Median $125.89 Typical High $245.47 | Professional | None | $70.79 | $125.89 | $245.47 |
Wellmark Setting Professional Modifier None Typical Low $102.33 Median $162.18 Typical High $239.88 | Professional | None | $102.33 | $162.18 | $239.88 |
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 $43.65 Median $67.61 Typical High $104.71 | Professional | 54 · Surgery only | $43.65 | $67.61 | $104.71 |
Where Iowa sits
The same service costs 3.6 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
$155
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.