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 $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
Aetna Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,884.03 | Professional | None | $2,454.71 | $2,454.71 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $2,187.76 Median $2,344.23 Typical High $2,754.23 | Professional | None | $2,187.76 | $2,344.23 | $2,754.23 |
Hally Health Setting Professional Modifier None Typical Low $12.88 Median $22.39 Typical High $851.14 | Professional | None | $12.88 | $22.39 | $851.14 |
Medica Setting Facility Modifier None Typical Low $181.97 Median $1,047.13 Typical High $2,754.23 | Facility | None | $181.97 | $1,047.13 | $2,754.23 |
Medica Setting Professional Modifier None Typical Low $177.83 Median $2,344.23 Typical High $2,754.23 | Professional | None | $177.83 | $2,344.23 | $2,754.23 |
Midlands Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $2,691.53 | Professional | None | $251.19 | $251.19 | $2,691.53 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
United Setting Professional Modifier None Typical Low $2,511.89 Median $2,818.38 Typical High $3,019.95 | Professional | None | $2,511.89 | $2,818.38 | $3,019.95 |
Wellmark Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
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 $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | 52 · Reduced service | $1,445.44 | $1,445.44 | $1,445.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | 53 · Discontinued | $575.44 | $575.44 | $575.44 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | 55 · Aftercare only | $436.52 | $436.52 | $436.52 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | 56 · Pre-op care only | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,230.27 Median $1,230.27 Typical High $1,445.44 | Professional | 52 · Reduced service | $1,230.27 | $1,230.27 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $489.78 Median $489.78 Typical High $575.44 | Professional | 53 · Discontinued | $489.78 | $489.78 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $371.54 Median $371.54 Typical High $436.52 | Professional | 55 · Aftercare only | $371.54 | $371.54 | $436.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $245.47 Median $245.47 Typical High $288.40 | Professional | 56 · Pre-op care only | $245.47 | $245.47 | $288.40 |
Where Iowa sits
The same service costs 25.1 times more in Arizona 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.
Iowa· 43rd of 51
$2,399
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.