How much rates vary
Facilitymedian $4,677 · 10th to 90th $1,660 to $14,125Professionalmedian $2,512 · 10th to 90th $1,514 to $3,715
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 $1,862.09 Median $4,265.80 Typical High $7,244.36 | Facility | None | $1,862.09 | $4,265.80 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,230.27 | $1,862.09 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $5,370.32 Typical High $8,128.31 | Facility | None | $1,096.48 | $5,370.32 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $2,570.40 Median $2,951.21 Typical High $3,630.78 | Professional | None | $2,570.40 | $2,951.21 | $3,630.78 |
Hally Health Setting Professional Modifier None Typical Low $1,230.27 Median $1,949.84 Typical High $3,235.94 | Professional | None | $1,230.27 | $1,949.84 | $3,235.94 |
Medica Setting Facility Modifier None Typical Low $1,659.59 Median $3,801.89 Typical High $15,488.17 | Facility | None | $1,659.59 | $3,801.89 | $15,488.17 |
Medica Setting Professional Modifier None Typical Low $1,513.56 Median $2,754.23 Typical High $9,772.37 | Professional | None | $1,513.56 | $2,754.23 | $9,772.37 |
Midlands Setting Professional Modifier None Typical Low $2,511.89 Median $2,951.21 Typical High $3,630.78 | Professional | None | $2,511.89 | $2,951.21 | $3,630.78 |
Midlands Setting Facility Modifier None Typical Low $2,570.40 Median $5,370.32 Typical High $8,128.31 | Facility | None | $2,570.40 | $5,370.32 | $8,128.31 |
Midlands Setting Professional Modifier None Typical Low $2,630.27 Median $2,884.03 Typical High $4,168.69 | Professional | None | $2,630.27 | $2,884.03 | $4,168.69 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $5,011.87 Typical High $22,908.68 | Facility | None | $1,584.89 | $5,011.87 | $22,908.68 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $1,995.26 Typical High $3,630.78 | Professional | None | $1,318.26 | $1,995.26 | $3,630.78 |
Wellmark Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,818.38 | Professional | None | $2,398.83 | $2,398.83 | $2,818.38 |
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 $602.56 Median $933.25 Typical High $933.25 | Professional | 52 · Reduced service | $602.56 | $933.25 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $371.54 Typical High $371.54 | Professional | 53 · Discontinued | $245.47 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $1,412.54 Typical High $1,412.54 | Professional | 54 · Surgery only | $912.01 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $281.84 Typical High $281.84 | Professional | 55 · Aftercare only | $181.97 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $186.21 Typical High $186.21 | Professional | 56 · Pre-op care only | $123.03 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $1,318.26 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $851.14 | $1,318.26 | $1,318.26 |
Where Iowa sits
The same service costs 11.0 times more in Alaska than in Texas. 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· 6th of 51
$2,754
AK $5,370TX $490
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.