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 $41.69 Median $81.28 Typical High $125.89 | Facility | None | $41.69 | $81.28 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $47.86 Typical High $81.28 | Professional | None | $30.90 | $47.86 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $95.50 Typical High $141.25 | Professional | None | $60.26 | $95.50 | $141.25 |
Hally Health Setting Professional Modifier None Typical Low $43.65 Median $89.13 Typical High $134.90 | Professional | None | $43.65 | $89.13 | $134.90 |
Medica Setting Facility Modifier None Typical Low $77.62 Median $104.71 Typical High $151.36 | Facility | None | $77.62 | $104.71 | $151.36 |
Medica Setting Professional Modifier None Typical Low $67.61 Median $104.71 Typical High $457.09 | Professional | None | $67.61 | $104.71 | $457.09 |
Midlands Setting Professional Modifier None Typical Low $74.13 Median $97.72 Typical High $125.89 | Professional | None | $74.13 | $97.72 | $125.89 |
Midlands Setting Professional Modifier None Typical Low $83.18 Median $125.89 Typical High $186.21 | Professional | None | $83.18 | $125.89 | $186.21 |
Oscar Health Setting Professional Modifier None Typical Low $44.67 Median $85.11 Typical High $158.49 | Professional | None | $44.67 | $85.11 | $158.49 |
United Setting Professional Modifier None Typical Low $52.48 Median $77.62 Typical High $128.82 | Professional | None | $52.48 | $77.62 | $128.82 |
Wellmark Setting Professional Modifier None Typical Low $56.23 Median $61.66 Typical High $102.33 | Professional | None | $56.23 | $61.66 | $102.33 |
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 52 · Reduced service Typical Low $20.89 Median $25.12 Typical High $31.62 | Professional | 52 · Reduced service | $20.89 | $25.12 | $31.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $7.59 Typical High $9.55 | Professional | 55 · Aftercare only | $6.17 | $7.59 | $9.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $5.13 Typical High $6.31 | Professional | 56 · Pre-op care only | $4.17 | $5.13 | $6.31 |
Where Iowa sits
The same service costs 2.2 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· 13th of 51
$79.43
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.