How much rates vary
Facilitymedian $3,020 · 10th to 90th $1,445 to $8,128Professionalmedian $2,089 · 10th to 90th $1,175 to $3,236
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 $1,905.46 Median $4,265.80 Typical High $7,244.36 | Facility | None | $1,905.46 | $4,265.80 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,122.02 | $1,905.46 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $2,089.30 Typical High $2,630.27 | Facility | None | $1,096.48 | $2,089.30 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $2,290.87 Typical High $3,162.28 | Professional | None | $1,202.26 | $2,290.87 | $3,162.28 |
Hally Health Setting Professional Modifier None Typical Low $977.24 Median $1,412.54 Typical High $2,398.83 | Professional | None | $977.24 | $1,412.54 | $2,398.83 |
Medica Setting Facility Modifier None Typical Low $1,445.44 Median $2,884.03 Typical High $8,912.51 | Facility | None | $1,445.44 | $2,884.03 | $8,912.51 |
Medica Setting Professional Modifier None Typical Low $1,230.27 Median $2,344.23 Typical High $8,128.31 | Professional | None | $1,230.27 | $2,344.23 | $8,128.31 |
Midlands Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,951.21 | Professional | None | $2,290.87 | $2,290.87 | $2,951.21 |
Midlands Setting Facility Modifier None Typical Low $1,288.25 Median $2,089.30 Typical High $2,630.27 | Facility | None | $1,288.25 | $2,089.30 | $2,630.27 |
Midlands Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | None | $2,089.30 | $2,089.30 | $2,089.30 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $4,570.88 Typical High $9,332.54 | Facility | None | $1,584.89 | $4,570.88 | $9,332.54 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,659.59 Typical High $3,090.30 | Professional | None | $1,122.02 | $1,659.59 | $3,090.30 |
Wellmark Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $2,290.87 | Professional | None | $1,949.84 | $1,949.84 | $2,290.87 |
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 $562.34 Median $954.99 Typical High $954.99 | Professional | 52 · Reduced service | $562.34 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $380.19 Typical High $380.19 | Professional | 53 · Discontinued | $223.87 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $1,412.54 Typical High $1,412.54 | Professional | 54 · Surgery only | $851.14 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $281.84 Typical High $281.84 | Professional | 55 · Aftercare only | $169.82 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $190.55 Typical High $190.55 | Professional | 56 · Pre-op care only | $112.20 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $1,318.26 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $794.33 | $1,318.26 | $1,318.26 |
Where Iowa sits
The same service costs 7.6 times more in Alaska than in Utah. 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
$2,291
AK $4,365UT $575
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.