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 $67.61 Median $204.17 Typical High $5,888.44 | Facility | None | $67.61 | $204.17 | $5,888.44 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $85.11 Typical High $125.89 | Professional | None | $36.31 | $85.11 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $109.65 Typical High $218.78 | Professional | None | $44.67 | $109.65 | $218.78 |
Hally Health Setting Professional Modifier None Typical Low $33.11 Median $85.11 Typical High $151.36 | Professional | None | $33.11 | $85.11 | $151.36 |
Medica Setting Facility Modifier None Typical Low $53.70 Median $173.78 Typical High $1,148.15 | Facility | None | $53.70 | $173.78 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $43.65 Median $91.20 Typical High $380.19 | Professional | None | $43.65 | $91.20 | $380.19 |
Midlands Setting Professional Modifier None Typical Low $44.67 Median $107.15 Typical High $177.83 | Professional | None | $44.67 | $107.15 | $177.83 |
Oscar Health Setting Facility Modifier None Typical Low $173.78 Median $194.98 Typical High $489.78 | Facility | None | $173.78 | $194.98 | $489.78 |
United Setting Facility Modifier None Typical Low $223.87 Median $616.60 Typical High $1,995.26 | Facility | None | $223.87 | $616.60 | $1,995.26 |
United Setting Professional Modifier None Typical Low $30.20 Median $61.66 Typical High $97.72 | Professional | None | $30.20 | $61.66 | $97.72 |
Wellmark Setting Professional Modifier None Typical Low $44.67 Median $46.77 Typical High $147.91 | Professional | None | $44.67 | $46.77 | $147.91 |
3 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 54 · Surgery only Typical Low $28.84 Median $32.36 Typical High $91.20 | Professional | 54 · Surgery only | $28.84 | $32.36 | $91.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.75 Median $6.46 Typical High $18.20 | Professional | 55 · Aftercare only | $5.75 | $6.46 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $4.37 Typical High $12.02 | Professional | 56 · Pre-op care only | $3.80 | $4.37 | $12.02 |
Where Iowa sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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· 11th of 51
$93.33
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.