How much rates vary
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 $1,819.70 Median $1,819.70 Typical High $1,862.09 | Facility | None | $1,819.70 | $1,819.70 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,862.09 | Professional | None | $1,819.70 | $1,819.70 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $1,778.28 Typical High $2,137.96 | Professional | None | $1,737.80 | $1,778.28 | $2,137.96 |
Hally Health Setting Professional Modifier None Typical Low $12.88 Median $26.30 Typical High $2,818.38 | Professional | None | $12.88 | $26.30 | $2,818.38 |
Medica Setting Facility Modifier None Typical Low $724.44 Median $1,819.70 Typical High $3,162.28 | Facility | None | $724.44 | $1,819.70 | $3,162.28 |
Medica Setting Professional Modifier None Typical Low $1,862.09 Median $2,137.96 Typical High $2,290.87 | Professional | None | $1,862.09 | $2,137.96 | $2,290.87 |
Midlands Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None | $2,041.74 | $2,041.74 | $2,041.74 |
United Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
United Setting Professional Modifier None Typical Low $1,862.09 Median $2,137.96 Typical High $2,290.87 | Professional | None | $1,862.09 | $2,137.96 | $2,290.87 |
Wellmark Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
8 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 Facility Modifier 52 · Reduced service Typical Low $891.25 Median $891.25 Typical High $933.25 | Facility | 52 · Reduced service | $891.25 | $891.25 | $933.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $363.08 Median $363.08 Typical High $371.54 | Facility | 53 · Discontinued | $363.08 | $363.08 | $371.54 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $269.15 Median $269.15 Typical High $275.42 | Facility | 55 · Aftercare only | $269.15 | $269.15 | $275.42 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $181.97 Median $181.97 Typical High $186.21 | Facility | 56 · Pre-op care only | $181.97 | $181.97 | $186.21 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $891.25 Median $891.25 Typical High $933.25 | Professional | 52 · Reduced service | $891.25 | $891.25 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $363.08 Typical High $371.54 | Professional | 53 · Discontinued | $363.08 | $363.08 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $269.15 Median $269.15 Typical High $275.42 | Professional | 55 · Aftercare only | $269.15 | $269.15 | $275.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $181.97 Median $181.97 Typical High $186.21 | Professional | 56 · Pre-op care only | $181.97 | $181.97 | $186.21 |
Where Iowa sits
The same service costs 1.9 times more in Arizona 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.
Iowa· 44th of 51
$1,820
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.