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 $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $20.42 Typical High $20.89 | Professional | None | $11.75 | $20.42 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $23.44 Typical High $23.44 | Facility | None | $13.80 | $23.44 | $23.44 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $23.44 Typical High $30.20 | Professional | None | $15.14 | $23.44 | $30.20 |
Hally Health Setting Professional Modifier None Typical Low $20.89 Median $26.30 Typical High $32.36 | Professional | None | $20.89 | $26.30 | $32.36 |
Medica Setting Facility Modifier None Typical Low $14.45 Median $22.91 Typical High $97.72 | Facility | None | $14.45 | $22.91 | $97.72 |
Medica Setting Professional Modifier None Typical Low $10.23 Median $17.78 Typical High $45.71 | Professional | None | $10.23 | $17.78 | $45.71 |
Midlands Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $24.55 | Professional | None | $23.44 | $23.44 | $24.55 |
Midlands Setting Professional Modifier None Typical Low $18.20 Median $35.48 Typical High $35.48 | Professional | None | $18.20 | $35.48 | $35.48 |
United Setting Professional Modifier None Typical Low $8.71 Median $10.47 Typical High $18.62 | Professional | None | $8.71 | $10.47 | $18.62 |
Wellmark Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
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 $1.78 Median $3.09 Typical High $3.16 | Professional | 55 · Aftercare only | $1.78 | $3.09 | $3.16 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.17 Median $2.04 Typical High $2.09 | Professional | 56 · Pre-op care only | $1.17 | $2.04 | $2.09 |
Where Iowa sits
The same service costs 2.3 times more in Hawaii than in Connecticut. 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· 4th of 51
$20.42
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.