How much rates vary
Facilitymedian $4,571 · 10th to 90th $1,288 to $14,125Professionalmedian $1,905 · 10th to 90th $1,122 to $2,884
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 $1,412.54 Median $3,548.13 Typical High $6,760.83 | Facility | None | $1,412.54 | $3,548.13 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $1,412.54 Typical High $1,412.54 | Professional | None | $912.01 | $1,412.54 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $5,370.32 Typical High $8,128.31 | Facility | None | $954.99 | $5,370.32 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $2,238.72 Typical High $2,754.23 | Professional | None | $1,949.84 | $2,238.72 | $2,754.23 |
Hally Health Setting Professional Modifier None Typical Low $912.01 Median $1,513.56 Typical High $2,511.89 | Professional | None | $912.01 | $1,513.56 | $2,511.89 |
Medica Setting Facility Modifier None Typical Low $1,288.25 Median $3,467.37 Typical High $15,488.17 | Facility | None | $1,288.25 | $3,467.37 | $15,488.17 |
Medica Setting Professional Modifier None Typical Low $1,148.15 Median $2,137.96 Typical High $7,413.10 | Professional | None | $1,148.15 | $2,137.96 | $7,413.10 |
Midlands Setting Professional Modifier None Typical Low $1,905.46 Median $2,238.72 Typical High $2,754.23 | Professional | None | $1,905.46 | $2,238.72 | $2,754.23 |
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 $1,995.26 Median $2,137.96 Typical High $3,235.94 | Professional | None | $1,995.26 | $2,137.96 | $3,235.94 |
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 $1,023.29 Median $1,548.82 Typical High $2,818.38 | Professional | None | $1,023.29 | $1,548.82 | $2,818.38 |
Wellmark Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $2,089.30 | Professional | None | $1,778.28 | $1,778.28 | $2,089.30 |
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 $457.09 Median $707.95 Typical High $707.95 | Professional | 52 · Reduced service | $457.09 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $281.84 Typical High $281.84 | Professional | 53 · Discontinued | $181.97 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $1,047.13 Typical High $1,047.13 | Professional | 54 · Surgery only | $691.83 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $208.93 Typical High $208.93 | Professional | 55 · Aftercare only | $138.04 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $141.25 Typical High $141.25 | Professional | 56 · Pre-op care only | $91.20 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $977.24 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $645.65 | $977.24 | $977.24 |
Where Iowa sits
The same service costs 4.4 times more in Alaska than in Hawaii. 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
AK $10,992HI $2,489
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.