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 $134.90 Median $134.90 Typical High $181.97 | Facility | None | $134.90 | $134.90 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $134.90 Typical High $181.97 | Professional | None | $91.20 | $134.90 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $181.97 Typical High $251.19 | Professional | None | $87.10 | $181.97 | $251.19 |
Hally Health Setting Professional Modifier None Typical Low $69.18 Median $91.20 Typical High $165.96 | Professional | None | $69.18 | $91.20 | $165.96 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $234.42 Typical High $309.03 | Facility | None | $151.36 | $234.42 | $309.03 |
Medica Setting Professional Modifier None Typical Low $125.89 Median $177.83 Typical High $588.84 | Professional | None | $125.89 | $177.83 | $588.84 |
Midlands Setting Professional Modifier None Typical Low $154.88 Median $194.98 Typical High $229.09 | Professional | None | $154.88 | $194.98 | $229.09 |
Midlands Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None | $269.15 | $269.15 | $269.15 |
Oscar Health Setting Professional Modifier None Typical Low $81.28 Median $151.36 Typical High $257.04 | Professional | None | $81.28 | $151.36 | $257.04 |
United Setting Professional Modifier None Typical Low $91.20 Median $120.23 Typical High $173.78 | Professional | None | $91.20 | $120.23 | $173.78 |
Wellmark Setting Professional Modifier None Typical Low $134.90 Median $158.49 Typical High $213.80 | Professional | None | $134.90 | $158.49 | $213.80 |
4 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 $45.71 Median $67.61 Typical High $91.20 | Professional | 52 · Reduced service | $45.71 | $67.61 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $27.54 Typical High $36.31 | Professional | 53 · Discontinued | $18.20 | $27.54 | $36.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $20.42 Typical High $26.92 | Professional | 55 · Aftercare only | $13.80 | $20.42 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $13.49 Typical High $18.20 | Professional | 56 · Pre-op care only | $9.12 | $13.49 | $18.20 |
Where Iowa sits
The same service costs 4.1 times more in Alaska than in New Jersey. 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· 3rd of 51
$166
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.