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 $23.99 Median $38.90 Typical High $39.81 | Facility | None | $23.99 | $38.90 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $33.88 Typical High $41.69 | Professional | None | $22.91 | $33.88 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $52.48 Typical High $72.44 | Professional | None | $34.67 | $52.48 | $72.44 |
Hally Health Setting Professional Modifier None Typical Low $21.88 Median $48.98 Typical High $75.86 | Professional | None | $21.88 | $48.98 | $75.86 |
Medica Setting Facility Modifier None Typical Low $33.11 Median $60.26 Typical High $77.62 | Facility | None | $33.11 | $60.26 | $77.62 |
Medica Setting Professional Modifier None Typical Low $31.62 Median $52.48 Typical High $245.47 | Professional | None | $31.62 | $52.48 | $245.47 |
Midlands Setting Professional Modifier None Typical Low $34.67 Median $48.98 Typical High $57.54 | Professional | None | $34.67 | $48.98 | $57.54 |
Midlands Setting Professional Modifier None Typical Low $47.86 Median $72.44 Typical High $95.50 | Professional | None | $47.86 | $72.44 | $95.50 |
Oscar Health Setting Professional Modifier None Typical Low $37.15 Median $46.77 Typical High $83.18 | Professional | None | $37.15 | $46.77 | $83.18 |
United Setting Professional Modifier None Typical Low $25.70 Median $40.74 Typical High $66.07 | Professional | None | $25.70 | $40.74 | $66.07 |
Wellmark Setting Professional Modifier None Typical Low $34.67 Median $36.31 Typical High $66.07 | Professional | None | $34.67 | $36.31 | $66.07 |
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 $11.22 Median $14.45 Typical High $19.50 | Professional | 52 · Reduced service | $11.22 | $14.45 | $19.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.39 Median $4.37 Typical High $5.75 | Professional | 55 · Aftercare only | $3.39 | $4.37 | $5.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.24 Median $2.88 Typical High $3.89 | Professional | 56 · Pre-op care only | $2.24 | $2.88 | $3.89 |
Where Iowa sits
The same service costs 2.8 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· 8th of 51
$45.71
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.