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 $93.33 Median $208.93 Typical High $1,202.26 | Facility | None | $93.33 | $208.93 | $1,202.26 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $104.71 Typical High $229.09 | Professional | None | $93.33 | $104.71 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $190.55 Typical High $234.42 | Professional | None | $117.49 | $190.55 | $234.42 |
Hally Health Setting Professional Modifier None Typical Low $100.00 Median $162.18 Typical High $288.40 | Professional | None | $100.00 | $162.18 | $288.40 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $218.78 Typical High $245.47 | Facility | None | $158.49 | $218.78 | $245.47 |
Medica Setting Professional Modifier None Typical Low $134.90 Median $199.53 Typical High $1,174.90 | Professional | None | $134.90 | $199.53 | $1,174.90 |
Midlands Setting Professional Modifier None Typical Low $162.18 Median $190.55 Typical High $229.09 | Professional | None | $162.18 | $190.55 | $229.09 |
Midlands Setting Professional Modifier None Typical Low $204.17 Median $229.09 Typical High $288.40 | Professional | None | $204.17 | $229.09 | $288.40 |
Oscar Health Setting Professional Modifier None Typical Low $109.65 Median $199.53 Typical High $295.12 | Professional | None | $109.65 | $199.53 | $295.12 |
United Setting Professional Modifier None Typical Low $112.20 Median $141.25 Typical High $257.04 | Professional | None | $112.20 | $141.25 | $257.04 |
Wellmark Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $269.15 | Professional | None | $199.53 | $199.53 | $269.15 |
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 $46.77 Median $47.86 Typical High $52.48 | Professional | 52 · Reduced service | $46.77 | $47.86 | $52.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $14.45 Typical High $15.85 | Professional | 55 · Aftercare only | $13.80 | $14.45 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $9.55 Typical High $10.47 | Professional | 56 · Pre-op care only | $9.33 | $9.55 | $10.47 |
Where Iowa sits
The same service costs 2.7 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· 6th of 51
$195
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.