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 $154.88 Median $204.17 Typical High $239.88 | Facility | None | $154.88 | $204.17 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $186.21 Typical High $239.88 | Professional | None | $154.88 | $186.21 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $245.47 Typical High $426.58 | Professional | None | $177.83 | $245.47 | $426.58 |
Hally Health Setting Professional Modifier None Typical Low $165.96 Median $295.12 Typical High $776.25 | Professional | None | $165.96 | $295.12 | $776.25 |
Medica Setting Facility Modifier None Typical Low $316.23 Median $363.08 Typical High $457.09 | Facility | None | $316.23 | $363.08 | $457.09 |
Medica Setting Professional Modifier None Typical Low $234.42 Median $446.68 Typical High $1,348.96 | Professional | None | $234.42 | $446.68 | $1,348.96 |
Midlands Setting Professional Modifier None Typical Low $346.74 Median $407.38 Typical High $426.58 | Professional | None | $346.74 | $407.38 | $426.58 |
Midlands Setting Professional Modifier None Typical Low $346.74 Median $407.38 Typical High $524.81 | Professional | None | $346.74 | $407.38 | $524.81 |
Oscar Health Setting Professional Modifier None Typical Low $177.83 Median $208.93 Typical High $371.54 | Professional | None | $177.83 | $208.93 | $371.54 |
United Setting Professional Modifier None Typical Low $194.98 Median $251.19 Typical High $436.52 | Professional | None | $194.98 | $251.19 | $436.52 |
Wellmark Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $288.40 | Professional | None | $245.47 | $245.47 | $288.40 |
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 $93.33 Median $104.71 Typical High $120.23 | Professional | 52 · Reduced service | $93.33 | $104.71 | $120.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $30.90 Typical High $36.31 | Professional | 55 · Aftercare only | $28.18 | $30.90 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $20.89 Typical High $23.99 | Professional | 56 · Pre-op care only | $18.62 | $20.89 | $23.99 |
Where Iowa sits
The same service costs 2.4 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
$245
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.