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 $43.65 Median $48.98 Typical High $63.10 | Facility | None | $43.65 | $48.98 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $57.54 Typical High $70.79 | Professional | None | $45.71 | $57.54 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $93.33 Typical High $123.03 | Professional | None | $64.57 | $93.33 | $123.03 |
Hally Health Setting Professional Modifier None Typical Low $43.65 Median $81.28 Typical High $141.25 | Professional | None | $43.65 | $81.28 | $141.25 |
Medica Setting Facility Modifier None Typical Low $66.07 Median $102.33 Typical High $125.89 | Facility | None | $66.07 | $102.33 | $125.89 |
Medica Setting Professional Modifier None Typical Low $64.57 Median $93.33 Typical High $398.11 | Professional | None | $64.57 | $93.33 | $398.11 |
Midlands Setting Professional Modifier None Typical Low $70.79 Median $79.43 Typical High $109.65 | Professional | None | $70.79 | $79.43 | $109.65 |
Midlands Setting Professional Modifier None Typical Low $93.33 Median $123.03 Typical High $158.49 | Professional | None | $93.33 | $123.03 | $158.49 |
Oscar Health Setting Professional Modifier None Typical Low $75.86 Median $95.50 Typical High $138.04 | Professional | None | $75.86 | $95.50 | $138.04 |
United Setting Professional Modifier None Typical Low $51.29 Median $69.18 Typical High $123.03 | Professional | None | $51.29 | $69.18 | $123.03 |
Wellmark Setting Professional Modifier None Typical Low $70.79 Median $72.44 Typical High $107.15 | Professional | None | $70.79 | $72.44 | $107.15 |
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 $22.91 Median $25.12 Typical High $31.62 | Professional | 52 · Reduced service | $22.91 | $25.12 | $31.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $7.59 Typical High $9.55 | Professional | 55 · Aftercare only | $6.92 | $7.59 | $9.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $5.01 Typical High $6.31 | Professional | 56 · Pre-op care only | $4.57 | $5.01 | $6.31 |
Where Iowa sits
The same service costs 2.7 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· 9th of 51
$85.11
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.