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 $158.49 Median $2,630.27 Typical High $6,760.83 | Facility | None | $158.49 | $2,630.27 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $104.71 Typical High $177.83 | Professional | None | $28.84 | $104.71 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $186.21 Typical High $223.87 | Facility | None | $144.54 | $186.21 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $147.91 Typical High $288.40 | Professional | None | $66.07 | $147.91 | $288.40 |
Hally Health Setting Professional Modifier None Typical Low $27.54 Median $112.20 Typical High $213.80 | Professional | None | $27.54 | $112.20 | $213.80 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $269.15 Typical High $1,148.15 | Facility | None | $81.28 | $269.15 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $64.57 Median $245.47 Typical High $870.96 | Professional | None | $64.57 | $245.47 | $870.96 |
Midlands Setting Professional Modifier None Typical Low $56.23 Median $213.80 Typical High $288.40 | Professional | None | $56.23 | $213.80 | $288.40 |
Midlands Setting Facility Modifier None Typical Low $144.54 Median $181.97 Typical High $223.87 | Facility | None | $144.54 | $181.97 | $223.87 |
Midlands Setting Professional Modifier None Typical Low $56.23 Median $245.47 Typical High $323.59 | Professional | None | $56.23 | $245.47 | $323.59 |
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 $35.48 Median $104.71 Typical High $309.03 | Professional | None | $35.48 | $104.71 | $309.03 |
Wellmark Setting Professional Modifier None Typical Low $52.48 Median $61.66 Typical High $275.42 | Professional | None | $52.48 | $61.66 | $275.42 |
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 $21.88 Median $56.23 Typical High $120.23 | Professional | 54 · Surgery only | $21.88 | $56.23 | $120.23 |
Where Iowa sits
The same service costs 5.1 times more in Iowa 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· 1st of 51
$178
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.