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 $31.62 Median $58.88 Typical High $97.72 | Facility | None | $31.62 | $58.88 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $37.15 Typical High $54.95 | Professional | None | $23.44 | $37.15 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $69.18 Typical High $97.72 | Professional | None | $38.02 | $69.18 | $97.72 |
Hally Health Setting Professional Modifier None Typical Low $32.36 Median $58.88 Typical High $102.33 | Professional | None | $32.36 | $58.88 | $102.33 |
Medica Setting Facility Modifier None Typical Low $51.29 Median $77.62 Typical High $109.65 | Facility | None | $51.29 | $77.62 | $109.65 |
Medica Setting Professional Modifier None Typical Low $45.71 Median $83.18 Typical High $354.81 | Professional | None | $45.71 | $83.18 | $354.81 |
Midlands Setting Professional Modifier None Typical Low $47.86 Median $77.62 Typical High $91.20 | Professional | None | $47.86 | $77.62 | $91.20 |
Midlands Setting Professional Modifier None Typical Low $61.66 Median $91.20 Typical High $120.23 | Professional | None | $61.66 | $91.20 | $120.23 |
Oscar Health Setting Professional Modifier None Typical Low $34.67 Median $64.57 Typical High $125.89 | Professional | None | $34.67 | $64.57 | $125.89 |
United Setting Professional Modifier None Typical Low $26.92 Median $46.77 Typical High $79.43 | Professional | None | $26.92 | $46.77 | $79.43 |
Wellmark Setting Professional Modifier None Typical Low $42.66 Median $46.77 Typical High $81.28 | Professional | None | $42.66 | $46.77 | $81.28 |
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 $15.49 Median $18.20 Typical High $25.12 | Professional | 52 · Reduced service | $15.49 | $18.20 | $25.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.68 Median $5.50 Typical High $7.41 | Professional | 55 · Aftercare only | $4.68 | $5.50 | $7.41 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.09 Median $3.63 Typical High $5.01 | Professional | 56 · Pre-op care only | $3.09 | $3.63 | $5.01 |
Where Iowa sits
The same service costs 2.4 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· 9th of 51
$57.54
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.