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 $7.59 Median $7.59 Typical High $7.59 | Facility | None | $7.59 | $7.59 | $7.59 |
Aetna Setting Professional Modifier None Typical Low $6.31 Median $7.59 Typical High $7.76 | Professional | None | $6.31 | $7.59 | $7.76 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $12.88 Typical High $125.89 | Professional | None | $11.22 | $12.88 | $125.89 |
Hally Health Setting Professional Modifier None Typical Low $74.13 Median $85.11 Typical High $199.53 | Professional | None | $74.13 | $85.11 | $199.53 |
Medica Setting Facility Modifier None Typical Low $10.47 Median $14.13 Typical High $138.04 | Facility | None | $10.47 | $14.13 | $138.04 |
Medica Setting Professional Modifier None Typical Low $5.13 Median $10.72 Typical High $69.18 | Professional | None | $5.13 | $10.72 | $69.18 |
Midlands Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $141.25 | Professional | None | $12.88 | $12.88 | $141.25 |
Midlands Setting Professional Modifier None Typical Low $14.79 Median $17.38 Typical High $141.25 | Professional | None | $14.79 | $17.38 | $141.25 |
United Setting Professional Modifier None Typical Low $4.90 Median $5.13 Typical High $9.12 | Professional | None | $4.90 | $5.13 | $9.12 |
Wellmark Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None | $114.82 | $114.82 | $114.82 |
2 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 55 · Aftercare only Typical Low $1.12 Median $1.12 Typical High $1.15 | Professional | 55 · Aftercare only | $1.12 | $1.12 | $1.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.76 Median $0.76 Typical High $0.78 | Professional | 56 · Pre-op care only | $0.76 | $0.76 | $0.78 |
Where Iowa sits
The same service costs 3.2 times more in Minnesota than in Rhode Island. 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· 5th of 51
$11.75
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.