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 $117.49 Median $154.88 Typical High $186.21 | Facility | None | $117.49 | $154.88 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $151.36 Typical High $186.21 | Professional | None | $117.49 | $151.36 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $186.21 Typical High $331.13 | Professional | None | $134.90 | $186.21 | $331.13 |
Hally Health Setting Professional Modifier None Typical Low $123.03 Median $229.09 Typical High $489.78 | Professional | None | $123.03 | $229.09 | $489.78 |
Medica Setting Facility Modifier None Typical Low $245.47 Median $281.84 Typical High $371.54 | Facility | None | $245.47 | $281.84 | $371.54 |
Medica Setting Professional Modifier None Typical Low $190.55 Median $363.08 Typical High $1,122.02 | Professional | None | $190.55 | $363.08 | $1,122.02 |
Midlands Setting Professional Modifier None Typical Low $257.04 Median $309.03 Typical High $331.13 | Professional | None | $257.04 | $309.03 | $331.13 |
Midlands Setting Professional Modifier None Typical Low $257.04 Median $309.03 Typical High $407.38 | Professional | None | $257.04 | $309.03 | $407.38 |
Oscar Health Setting Professional Modifier None Typical Low $114.82 Median $154.88 Typical High $302.00 | Professional | None | $114.82 | $154.88 | $302.00 |
United Setting Professional Modifier None Typical Low $154.88 Median $199.53 Typical High $354.81 | Professional | None | $154.88 | $199.53 | $354.81 |
Wellmark Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $223.87 | Professional | None | $181.97 | $181.97 | $223.87 |
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 $69.18 Median $77.62 Typical High $93.33 | Professional | 52 · Reduced service | $69.18 | $77.62 | $93.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $23.44 Typical High $27.54 | Professional | 55 · Aftercare only | $20.89 | $23.44 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $15.49 Typical High $18.62 | Professional | 56 · Pre-op care only | $13.80 | $15.49 | $18.62 |
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· 13th of 51
$186
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.