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 $9.77 Median $9.77 Typical High $9.77 | Facility | None | $9.77 | $9.77 | $9.77 |
Aetna Setting Professional Modifier None Typical Low $7.08 Median $9.77 Typical High $10.00 | Professional | None | $7.08 | $9.77 | $10.00 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $11.22 Typical High $13.49 | Professional | None | $10.96 | $11.22 | $13.49 |
Hally Health Setting Professional Modifier None Typical Low $8.51 Median $10.96 Typical High $17.38 | Professional | None | $8.51 | $10.96 | $17.38 |
Medica Setting Facility Modifier None Typical Low $6.76 Median $10.96 Typical High $12.88 | Facility | None | $6.76 | $10.96 | $12.88 |
Medica Setting Professional Modifier None Typical Low $4.90 Median $8.51 Typical High $50.12 | Professional | None | $4.90 | $8.51 | $50.12 |
Midlands Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $13.18 | Professional | None | $11.22 | $11.22 | $13.18 |
Midlands Setting Professional Modifier None Typical Low $8.51 Median $14.45 Typical High $21.88 | Professional | None | $8.51 | $14.45 | $21.88 |
United Setting Professional Modifier None Typical Low $4.27 Median $5.01 Typical High $8.71 | Professional | None | $4.27 | $5.01 | $8.71 |
Wellmark Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
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 $1.07 Median $1.48 Typical High $1.51 | Professional | 55 · Aftercare only | $1.07 | $1.48 | $1.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.71 Median $0.98 Typical High $1.00 | Professional | 56 · Pre-op care only | $0.71 | $0.98 | $1.00 |
Where Iowa sits
The same service costs 2.7 times more in Hawaii than in Colorado. 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· 6th of 51
$9.77
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.