How much rates vary
Facilitymedian $5,623 · 10th to 90th $1,122 to $12,303Professionalmedian $1,230 · 10th to 90th $661 to $1,995
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 $1,202.26 Median $6,165.95 Typical High $9,332.54 | Facility | None | $1,202.26 | $6,165.95 | $9,332.54 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $1,202.26 Typical High $1,202.26 | Professional | None | $676.08 | $1,202.26 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $6,025.60 Median $7,079.46 Typical High $8,511.38 | Facility | None | $6,025.60 | $7,079.46 | $8,511.38 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $1,445.44 Typical High $1,995.26 | Professional | None | $794.33 | $1,445.44 | $1,995.26 |
Hally Health Setting Professional Modifier None Typical Low $489.78 Median $831.76 Typical High $1,862.09 | Professional | None | $489.78 | $831.76 | $1,862.09 |
Medica Setting Facility Modifier None Typical Low $831.76 Median $3,630.78 Typical High $12,302.69 | Facility | None | $831.76 | $3,630.78 | $12,302.69 |
Medica Setting Professional Modifier None Typical Low $794.33 Median $1,584.89 Typical High $5,128.61 | Professional | None | $794.33 | $1,584.89 | $5,128.61 |
Midlands Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,862.09 | Professional | None | $1,445.44 | $1,445.44 | $1,862.09 |
Midlands Setting Facility Modifier None Typical Low $4,897.79 Median $7,079.46 Typical High $8,511.38 | Facility | None | $4,897.79 | $7,079.46 | $8,511.38 |
Oscar Health Setting Professional Modifier None Typical Low $588.84 Median $1,071.52 Typical High $1,318.26 | Professional | None | $588.84 | $1,071.52 | $1,318.26 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $5,011.87 Typical High $14,125.38 | Facility | None | $1,659.59 | $5,011.87 | $14,125.38 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,148.15 Typical High $1,995.26 | Professional | None | $758.58 | $1,148.15 | $1,995.26 |
Wellmark Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,445.44 | Professional | None | $1,202.26 | $1,202.26 | $1,445.44 |
5 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 $354.81 Median $602.56 Typical High $602.56 | Professional | 52 · Reduced service | $354.81 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $239.88 Typical High $239.88 | Professional | 53 · Discontinued | $141.25 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $891.25 Typical High $891.25 | Professional | 54 · Surgery only | $537.03 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $181.97 Typical High $181.97 | Professional | 55 · Aftercare only | $107.15 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $120.23 Typical High $120.23 | Professional | 56 · Pre-op care only | $70.79 | $120.23 | $120.23 |
Where Iowa sits
The same service costs 5.9 times more in Alaska 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
AK $12,304MT $2,095
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.