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 $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $38.90 Typical High $41.69 | Professional | None | $22.91 | $38.90 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $47.86 Typical High $47.86 | Facility | None | $22.39 | $47.86 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $56.23 | Professional | None | $41.69 | $50.12 | $56.23 |
Hally Health Setting Professional Modifier None Typical Low $32.36 Median $42.66 Typical High $53.70 | Professional | None | $32.36 | $42.66 | $53.70 |
Medica Setting Facility Modifier None Typical Low $28.84 Median $46.77 Typical High $194.98 | Facility | None | $28.84 | $46.77 | $194.98 |
Medica Setting Professional Modifier None Typical Low $20.89 Median $37.15 Typical High $95.50 | Professional | None | $20.89 | $37.15 | $95.50 |
Midlands Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $52.48 | Professional | None | $50.12 | $50.12 | $52.48 |
Midlands Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Midlands Setting Professional Modifier None Typical Low $38.02 Median $70.79 Typical High $70.79 | Professional | None | $38.02 | $70.79 | $70.79 |
United Setting Professional Modifier None Typical Low $18.62 Median $21.38 Typical High $37.15 | Professional | None | $18.62 | $21.38 | $37.15 |
Wellmark Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
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 $3.47 Median $5.62 Typical High $6.17 | Professional | 55 · Aftercare only | $3.47 | $5.62 | $6.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.29 Median $3.80 Typical High $4.17 | Professional | 56 · Pre-op care only | $2.29 | $3.80 | $4.17 |
Where Iowa sits
The same service costs 2.5 times more in Idaho than in Kentucky. 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
$38.02
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.