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 $66.07 Median $72.44 Typical High $87.10 | Facility | None | $66.07 | $72.44 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $75.86 Typical High $87.10 | Professional | None | $67.61 | $75.86 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $128.82 Typical High $169.82 | Professional | None | $91.20 | $128.82 | $169.82 |
Hally Health Setting Professional Modifier None Typical Low $66.07 Median $114.82 Typical High $177.83 | Professional | None | $66.07 | $114.82 | $177.83 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $141.25 Typical High $173.78 | Facility | None | $100.00 | $141.25 | $173.78 |
Medica Setting Professional Modifier None Typical Low $95.50 Median $138.04 Typical High $549.54 | Professional | None | $95.50 | $138.04 | $549.54 |
Midlands Setting Professional Modifier None Typical Low $104.71 Median $107.15 Typical High $165.96 | Professional | None | $104.71 | $107.15 | $165.96 |
Midlands Setting Professional Modifier None Typical Low $138.04 Median $173.78 Typical High $218.78 | Professional | None | $138.04 | $173.78 | $218.78 |
Oscar Health Setting Professional Modifier None Typical Low $112.20 Median $141.25 Typical High $186.21 | Professional | None | $112.20 | $141.25 | $186.21 |
United Setting Professional Modifier None Typical Low $75.86 Median $97.72 Typical High $173.78 | Professional | None | $75.86 | $97.72 | $173.78 |
Wellmark Setting Professional Modifier None Typical Low $102.33 Median $104.71 Typical High $147.91 | Professional | None | $102.33 | $104.71 | $147.91 |
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 $33.88 Median $36.31 Typical High $43.65 | Professional | 52 · Reduced service | $33.88 | $36.31 | $43.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $10.96 Typical High $13.18 | Professional | 55 · Aftercare only | $10.23 | $10.96 | $13.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $7.24 Typical High $8.71 | Professional | 56 · Pre-op care only | $6.76 | $7.24 | $8.71 |
Where Iowa sits
The same service costs 2.9 times more in Alaska than in Florida. 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
$115
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.