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 $181.97 Median $2,630.27 Typical High $6,760.83 | Facility | None | $181.97 | $2,630.27 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $141.25 Typical High $208.93 | Professional | None | $64.57 | $141.25 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $194.98 Typical High $426.58 | Professional | None | $154.88 | $194.98 | $426.58 |
Hally Health Setting Professional Modifier None Typical Low $52.48 Median $186.21 Typical High $269.15 | Professional | None | $52.48 | $186.21 | $269.15 |
Medica Setting Facility Modifier None Typical Low $177.83 Median $323.59 Typical High $467.74 | Facility | None | $177.83 | $323.59 | $467.74 |
Medica Setting Professional Modifier None Typical Low $162.18 Median $346.74 Typical High $478.63 | Professional | None | $162.18 | $346.74 | $478.63 |
Midlands Setting Professional Modifier None Typical Low $165.96 Median $354.81 Typical High $457.09 | Professional | None | $165.96 | $354.81 | $457.09 |
Oscar Health Setting Professional Modifier None Typical Low $48.98 Median $112.20 Typical High $316.23 | Professional | None | $48.98 | $112.20 | $316.23 |
United Setting Facility Modifier None Typical Low $302.00 Median $501.19 Typical High $630.96 | Facility | None | $302.00 | $501.19 | $630.96 |
United Setting Professional Modifier None Typical Low $83.18 Median $194.98 Typical High $436.52 | Professional | None | $83.18 | $194.98 | $436.52 |
Wellmark Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $257.04 | Professional | None | $81.28 | $81.28 | $257.04 |
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 $32.36 Median $43.65 Typical High $91.20 | Professional | 52 · Reduced service | $32.36 | $43.65 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $17.38 Typical High $36.31 | Professional | 53 · Discontinued | $12.88 | $17.38 | $36.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $48.98 Median $66.07 Typical High $134.90 | Professional | 54 · Surgery only | $48.98 | $66.07 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $13.18 Typical High $26.92 | Professional | 55 · Aftercare only | $9.77 | $13.18 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $8.71 Typical High $18.20 | Professional | 56 · Pre-op care only | $6.46 | $8.71 | $18.20 |
Where Iowa sits
The same service costs 3.5 times more in Alaska than in Maryland. 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· 7th of 51
$195
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.