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 $74.13 Median $97.72 Typical High $109.65 | Facility | None | $74.13 | $97.72 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $97.72 Typical High $134.90 | Professional | None | $69.18 | $97.72 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $154.88 Typical High $208.93 | Professional | None | $104.71 | $154.88 | $208.93 |
Hally Health Setting Professional Modifier None Typical Low $67.61 Median $128.82 Typical High $229.09 | Professional | None | $67.61 | $128.82 | $229.09 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $147.91 Typical High $223.87 | Facility | None | $102.33 | $147.91 | $223.87 |
Medica Setting Professional Modifier None Typical Low $97.72 Median $147.91 Typical High $691.83 | Professional | None | $97.72 | $147.91 | $691.83 |
Midlands Setting Professional Modifier None Typical Low $107.15 Median $138.04 Typical High $208.93 | Professional | None | $107.15 | $138.04 | $208.93 |
Midlands Setting Professional Modifier None Typical Low $147.91 Median $218.78 Typical High $275.42 | Professional | None | $147.91 | $218.78 | $275.42 |
Oscar Health Setting Professional Modifier None Typical Low $114.82 Median $144.54 Typical High $239.88 | Professional | None | $114.82 | $144.54 | $239.88 |
United Setting Professional Modifier None Typical Low $74.13 Median $112.20 Typical High $194.98 | Professional | None | $74.13 | $112.20 | $194.98 |
Wellmark Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Wellmark Setting Professional Modifier None Typical Low $107.15 Median $109.65 Typical High $190.55 | Professional | None | $107.15 | $109.65 | $190.55 |
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 $35.48 Median $41.69 Typical High $54.95 | Professional | 52 · Reduced service | $35.48 | $41.69 | $54.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $12.30 Typical High $16.60 | Professional | 55 · Aftercare only | $10.47 | $12.30 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $8.32 Typical High $10.96 | Professional | 56 · Pre-op care only | $7.08 | $8.32 | $10.96 |
Where Iowa sits
The same service costs 2.9 times more in Alaska than in Washington, DC. 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.