How much rates vary
Facilitymedian $4,677 · 10th to 90th $1,778 to $14,125Professionalmedian $2,754 · 10th to 90th $1,622 to $4,074
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 $1,995.26 Median $4,265.80 Typical High $7,244.36 | Facility | None | $1,995.26 | $4,265.80 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,318.26 | $1,995.26 | $1,995.26 |
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 $2,754.23 Median $3,235.94 Typical High $3,890.45 | Professional | None | $2,754.23 | $3,235.94 | $3,890.45 |
Hally Health Setting Professional Modifier None Typical Low $1,318.26 Median $2,137.96 Typical High $3,548.13 | Professional | None | $1,318.26 | $2,137.96 | $3,548.13 |
Medica Setting Facility Modifier None Typical Low $1,778.28 Median $4,168.69 Typical High $15,488.17 | Facility | None | $1,778.28 | $4,168.69 | $15,488.17 |
Medica Setting Professional Modifier None Typical Low $1,621.81 Median $3,019.95 Typical High $10,964.78 | Professional | None | $1,621.81 | $3,019.95 | $10,964.78 |
Midlands Setting Professional Modifier None Typical Low $2,754.23 Median $3,235.94 Typical High $3,890.45 | Professional | None | $2,754.23 | $3,235.94 | $3,890.45 |
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 $2,884.03 Median $3,090.30 Typical High $4,570.88 | Professional | None | $2,884.03 | $3,090.30 | $4,570.88 |
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 $1,412.54 Median $2,187.76 Typical High $3,981.07 | Professional | None | $1,412.54 | $2,187.76 | $3,981.07 |
Wellmark Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $3,019.95 | Professional | None | $2,570.40 | $2,570.40 | $3,019.95 |
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 $660.69 Median $1,000.00 Typical High $1,000.00 | Professional | 52 · Reduced service | $660.69 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $398.11 Typical High $398.11 | Professional | 53 · Discontinued | $263.03 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $977.24 Median $1,513.56 Typical High $1,513.56 | Professional | 54 · Surgery only | $977.24 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $302.00 Typical High $302.00 | Professional | 55 · Aftercare only | $194.98 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $199.53 Typical High $199.53 | Professional | 56 · Pre-op care only | $131.83 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $1,412.54 Typical High $1,412.54 | Professional | 78 · Unplanned return to OR | $912.01 | $1,412.54 | $1,412.54 |
Where Iowa sits
The same service costs 24.5 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· 5th of 51
$3,020
AK $5,754TX $234
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.