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 $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $58.88 Typical High $61.66 | Professional | None | $35.48 | $58.88 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $67.61 Typical High $67.61 | Facility | None | $34.67 | $67.61 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $70.79 Typical High $93.33 | Professional | None | $61.66 | $70.79 | $93.33 |
Hally Health Setting Professional Modifier None Typical Low $60.26 Median $63.10 Typical High $75.86 | Professional | None | $60.26 | $63.10 | $75.86 |
Medica Setting Facility Modifier None Typical Low $41.69 Median $66.07 Typical High $281.84 | Facility | None | $41.69 | $66.07 | $281.84 |
Medica Setting Professional Modifier None Typical Low $30.20 Median $52.48 Typical High $138.04 | Professional | None | $30.20 | $52.48 | $138.04 |
Midlands Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $79.43 | Professional | None | $70.79 | $70.79 | $79.43 |
Midlands Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Midlands Setting Professional Modifier None Typical Low $54.95 Median $102.33 Typical High $102.33 | Professional | None | $54.95 | $102.33 | $102.33 |
United Setting Professional Modifier None Typical Low $26.92 Median $30.20 Typical High $53.70 | Professional | None | $26.92 | $30.20 | $53.70 |
Wellmark Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None | $48.98 | $48.98 | $48.98 |
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 $5.37 Median $8.91 Typical High $9.12 | Professional | 55 · Aftercare only | $5.37 | $8.91 | $9.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.55 Median $5.89 Typical High $6.17 | Professional | 56 · Pre-op care only | $3.55 | $5.89 | $6.17 |
Where Iowa sits
The same service costs 3.0 times more in Hawaii than in New Hampshire. 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· 8th of 51
$58.88
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.