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 $54.95 Median $61.66 Typical High $72.44 | Facility | None | $54.95 | $61.66 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $72.44 Typical High $158.49 | Professional | None | $54.95 | $72.44 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $131.83 Typical High $190.55 | Professional | None | $112.20 | $131.83 | $190.55 |
Hally Health Setting Professional Modifier None Typical Low $75.86 Median $114.82 Typical High $229.09 | Professional | None | $75.86 | $114.82 | $229.09 |
Medica Setting Facility Modifier None Typical Low $107.15 Median $158.49 Typical High $204.17 | Facility | None | $107.15 | $158.49 | $204.17 |
Medica Setting Professional Modifier None Typical Low $87.10 Median $154.88 Typical High $616.60 | Professional | None | $87.10 | $154.88 | $616.60 |
Midlands Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $165.96 | Professional | None | $131.83 | $131.83 | $165.96 |
Midlands Setting Professional Modifier None Typical Low $147.91 Median $186.21 Typical High $204.17 | Professional | None | $147.91 | $186.21 | $204.17 |
Oscar Health Setting Professional Modifier None Typical Low $77.62 Median $141.25 Typical High $173.78 | Professional | None | $77.62 | $141.25 | $173.78 |
United Setting Professional Modifier None Typical Low $93.33 Median $123.03 Typical High $223.87 | Professional | None | $93.33 | $123.03 | $223.87 |
Wellmark Setting Professional Modifier None Typical Low $114.82 Median $134.90 Typical High $134.90 | Professional | None | $114.82 | $134.90 | $134.90 |
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 $34.67 Median $36.31 Typical High $36.31 | Professional | 52 · Reduced service | $34.67 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $10.96 Typical High $10.96 | Professional | 55 · Aftercare only | $10.23 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $7.24 Typical High $7.24 | Professional | 56 · Pre-op care only | $6.92 | $7.24 | $7.24 |
Where Iowa sits
The same service costs 2.3 times more in Alaska than in Alabama. 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· 10th of 51
$135
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.