How much rates vary
Facilitymedian $3,090 · 10th to 90th $1,202 to $9,120Professionalmedian $1,950 · 10th to 90th $1,096 to $3,090
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 $1,096.48 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,096.48 | $1,862.09 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $2,754.23 Typical High $3,388.44 | Facility | None | $1,096.48 | $2,754.23 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $2,290.87 Typical High $3,090.30 | Professional | None | $1,148.15 | $2,290.87 | $3,090.30 |
Hally Health Setting Professional Modifier None Typical Low $933.25 Median $1,348.96 Typical High $2,238.72 | Professional | None | $933.25 | $1,348.96 | $2,238.72 |
Medica Setting Facility Modifier None Typical Low $1,202.26 Median $2,691.53 Typical High $9,120.11 | Facility | None | $1,202.26 | $2,691.53 | $9,120.11 |
Medica Setting Professional Modifier None Typical Low $1,148.15 Median $2,290.87 Typical High $7,943.28 | Professional | None | $1,148.15 | $2,290.87 | $7,943.28 |
Midlands Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,884.03 | Professional | None | $2,290.87 | $2,290.87 | $2,884.03 |
Midlands Setting Facility Modifier None Typical Low $1,380.38 Median $2,691.53 Typical High $3,388.44 | Facility | None | $1,380.38 | $2,691.53 | $3,388.44 |
Midlands Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,949.84 | $1,949.84 | $1,949.84 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $4,365.16 Typical High $10,471.29 | Facility | None | $1,380.38 | $4,365.16 | $10,471.29 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,548.82 Typical High $2,884.03 | Professional | None | $1,047.13 | $1,548.82 | $2,884.03 |
Wellmark Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $2,238.72 | Professional | None | $1,905.46 | $1,905.46 | $2,238.72 |
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 $549.54 Median $933.25 Typical High $933.25 | Professional | 52 · Reduced service | $549.54 | $933.25 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $371.54 Typical High $371.54 | Professional | 53 · Discontinued | $218.78 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $1,380.38 Typical High $1,380.38 | Professional | 54 · Surgery only | $812.83 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $275.42 Typical High $275.42 | Professional | 55 · Aftercare only | $165.96 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $186.21 Typical High $186.21 | Professional | 56 · Pre-op care only | $109.65 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $1,288.25 Typical High $1,288.25 | Professional | 78 · Unplanned return to OR | $758.58 | $1,288.25 | $1,288.25 |
Where Iowa sits
The same service costs 7.2 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
$2,239
AK $4,266UT $589
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.