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 $2.45 Median $2.45 Typical High $2.45 | Facility | None | $2.45 | $2.45 | $2.45 |
Aetna Setting Professional Modifier None Typical Low $1.41 Median $2.45 Typical High $2.51 | Professional | None | $1.41 | $2.45 | $2.51 |
Cigna Setting Facility Modifier None Typical Low $1.51 Median $2.82 Typical High $2.82 | Facility | None | $1.51 | $2.82 | $2.82 |
Cigna Setting Professional Modifier None Typical Low $2.57 Median $2.82 Typical High $3.72 | Professional | None | $2.57 | $2.82 | $3.72 |
Hally Health Setting Professional Modifier None Typical Low $2.51 Median $3.16 Typical High $3.89 | Professional | None | $2.51 | $3.16 | $3.89 |
Medica Setting Facility Modifier None Typical Low $1.70 Median $2.75 Typical High $79.43 | Facility | None | $1.70 | $2.75 | $79.43 |
Medica Setting Professional Modifier None Typical Low $1.23 Median $2.14 Typical High $5.50 | Professional | None | $1.23 | $2.14 | $5.50 |
Midlands Setting Professional Modifier None Typical Low $2.82 Median $2.82 Typical High $2.95 | Professional | None | $2.82 | $2.82 | $2.95 |
Midlands Setting Professional Modifier None Typical Low $2.19 Median $4.17 Typical High $4.17 | Professional | None | $2.19 | $4.17 | $4.17 |
United Setting Professional Modifier None Typical Low $1.05 Median $1.26 Typical High $2.24 | Professional | None | $1.05 | $1.26 | $2.24 |
Wellmark Setting Professional Modifier None Typical Low $2.04 Median $2.04 Typical High $2.04 | Professional | None | $2.04 | $2.04 | $2.04 |
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 $0.21 Median $0.37 Typical High $0.38 | Professional | 55 · Aftercare only | $0.21 | $0.37 | $0.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.14 Median $0.25 Typical High $0.25 | Professional | 56 · Pre-op care only | $0.14 | $0.25 | $0.25 |
Where Iowa sits
The same service costs 2.1 times more in Idaho 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· 5th of 51
$2.45
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.