How much rates vary
Facilitymedian $6,918 · 10th to 90th $646 to $38,019Professionalmedian $631 · 10th to 90th $347 to $871
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 $2,951.21 Typical High $6,760.83 | Facility | None | $602.56 | $2,951.21 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $446.68 Typical High $446.68 | Professional | None | $288.40 | $446.68 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $25,703.96 Typical High $33,113.11 | Facility | None | $645.65 | $25,703.96 | $33,113.11 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $724.44 Typical High $870.96 | Professional | None | $588.84 | $724.44 | $870.96 |
Hally Health Setting Professional Modifier None Typical Low $288.40 Median $478.63 Typical High $741.31 | Professional | None | $288.40 | $478.63 | $741.31 |
Medica Setting Facility Modifier None Typical Low $549.54 Median $5,754.40 Typical High $45,708.82 | Facility | None | $549.54 | $5,754.40 | $45,708.82 |
Medica Setting Professional Modifier None Typical Low $346.74 Median $691.83 Typical High $8,317.64 | Professional | None | $346.74 | $691.83 | $8,317.64 |
Midlands Setting Professional Modifier None Typical Low $616.60 Median $691.83 Typical High $831.76 | Professional | None | $616.60 | $691.83 | $831.76 |
Midlands Setting Facility Modifier None Typical Low $9,332.54 Median $22,387.21 Typical High $31,622.78 | Facility | None | $9,332.54 | $22,387.21 | $31,622.78 |
Midlands Setting Professional Modifier None Typical Low $588.84 Median $758.58 Typical High $1,047.13 | Professional | None | $588.84 | $758.58 | $1,047.13 |
United Setting Facility Modifier None Typical Low $2,630.27 Median $10,232.93 Typical High $51,286.14 | Facility | None | $2,630.27 | $10,232.93 | $51,286.14 |
United Setting Professional Modifier None Typical Low $302.00 Median $467.74 Typical High $831.76 | Professional | None | $302.00 | $467.74 | $831.76 |
Wellmark Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $741.31 | Professional | None | $630.96 | $630.96 | $741.31 |
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 $144.54 Median $218.78 Typical High $218.78 | Professional | 52 · Reduced service | $144.54 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $89.13 Typical High $89.13 | Professional | 53 · Discontinued | $57.54 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $331.13 Typical High $331.13 | Professional | 54 · Surgery only | $218.78 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $66.07 Typical High $66.07 | Professional | 55 · Aftercare only | $43.65 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $44.67 Typical High $44.67 | Professional | 56 · Pre-op care only | $28.84 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $204.17 Median $309.03 Typical High $309.03 | Professional | 78 · Unplanned return to OR | $204.17 | $309.03 | $309.03 |
Where Iowa sits
The same service costs 29.1 times more in Alabama 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
AL $30,626MT $1,051
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.