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 $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $13.80 Typical High $16.60 | Professional | None | $9.33 | $13.80 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $15.85 Typical High $15.85 | Facility | None | $10.00 | $15.85 | $15.85 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $18.62 Typical High $22.91 | Professional | None | $14.45 | $18.62 | $22.91 |
Hally Health Setting Professional Modifier None Typical Low $14.13 Median $16.98 Typical High $25.70 | Professional | None | $14.13 | $16.98 | $25.70 |
Medica Setting Facility Modifier None Typical Low $9.55 Median $15.85 Typical High $79.43 | Facility | None | $9.55 | $15.85 | $79.43 |
Medica Setting Professional Modifier None Typical Low $7.08 Median $14.13 Typical High $36.31 | Professional | None | $7.08 | $14.13 | $36.31 |
Midlands Setting Professional Modifier None Typical Low $16.60 Median $18.62 Typical High $18.62 | Professional | None | $16.60 | $18.62 | $18.62 |
Midlands Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Facility | None | $15.85 | $15.85 | $15.85 |
Midlands Setting Professional Modifier None Typical Low $14.45 Median $23.44 Typical High $23.44 | Professional | None | $14.45 | $23.44 | $23.44 |
United Setting Professional Modifier None Typical Low $6.46 Median $7.08 Typical High $12.88 | Professional | None | $6.46 | $7.08 | $12.88 |
Wellmark Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | None | $11.48 | $11.48 | $11.48 |
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 $1.41 Median $2.09 Typical High $2.51 | Professional | 55 · Aftercare only | $1.41 | $2.09 | $2.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.93 Median $1.38 Typical High $1.66 | Professional | 56 · Pre-op care only | $0.93 | $1.38 | $1.66 |
Where Iowa sits
The same service costs 2.3 times more in Montana 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· 12th of 51
$13.80
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.