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 $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $17.38 Typical High $17.78 | Professional | None | $10.00 | $17.38 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $10.72 Median $19.95 Typical High $19.95 | Facility | None | $10.72 | $19.95 | $19.95 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $19.95 Typical High $25.12 | Professional | None | $18.62 | $19.95 | $25.12 |
Hally Health Setting Professional Modifier None Typical Low $16.98 Median $17.78 Typical High $26.92 | Professional | None | $16.98 | $17.78 | $26.92 |
Medica Setting Facility Modifier None Typical Low $12.30 Median $19.95 Typical High $79.43 | Facility | None | $12.30 | $19.95 | $79.43 |
Medica Setting Professional Modifier None Typical Low $8.71 Median $15.49 Typical High $38.90 | Professional | None | $8.71 | $15.49 | $38.90 |
Midlands Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $20.89 | Professional | None | $19.95 | $19.95 | $20.89 |
Midlands Setting Professional Modifier None Typical Low $15.49 Median $30.20 Typical High $30.20 | Professional | None | $15.49 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $7.41 Median $8.91 Typical High $15.85 | Professional | None | $7.41 | $8.91 | $15.85 |
Wellmark Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | None | $14.79 | $14.79 | $14.79 |
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 $1.51 Median $2.63 Typical High $2.69 | Professional | 55 · Aftercare only | $1.51 | $2.63 | $2.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.00 Median $1.78 Typical High $1.78 | Professional | 56 · Pre-op care only | $1.00 | $1.78 | $1.78 |
Where Iowa sits
The same service costs 2.9 times more in Hawaii than in Rhode Island. 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
$17.38
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.