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 $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
Aetna Setting Professional Modifier None Typical Low $8.91 Median $15.49 Typical High $15.85 | Professional | None | $8.91 | $15.49 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $8.13 Median $17.78 Typical High $17.78 | Facility | None | $8.13 | $17.78 | $17.78 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $17.78 Typical High $22.91 | Professional | None | $17.38 | $17.78 | $22.91 |
Hally Health Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $20.89 | Professional | None | $15.85 | $15.85 | $20.89 |
Medica Setting Facility Modifier None Typical Low $10.72 Median $17.38 Typical High $79.43 | Facility | None | $10.72 | $17.38 | $79.43 |
Medica Setting Professional Modifier None Typical Low $7.76 Median $13.49 Typical High $34.67 | Professional | None | $7.76 | $13.49 | $34.67 |
Midlands Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $20.89 | Professional | None | $17.78 | $17.78 | $20.89 |
Midlands Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Facility | None | $17.78 | $17.78 | $17.78 |
Midlands Setting Professional Modifier None Typical Low $13.49 Median $26.30 Typical High $26.30 | Professional | None | $13.49 | $26.30 | $26.30 |
United Setting Professional Modifier None Typical Low $6.61 Median $7.94 Typical High $13.80 | Professional | None | $6.61 | $7.94 | $13.80 |
Wellmark Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | None | $16.22 | $16.22 | $16.22 |
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 $1.32 Median $2.29 Typical High $2.34 | Professional | 55 · Aftercare only | $1.32 | $2.29 | $2.34 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.89 Median $1.55 Typical High $1.58 | Professional | 56 · Pre-op care only | $0.89 | $1.55 | $1.58 |
Where Iowa sits
The same service costs 2.2 times more in Kansas 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
$16.22
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.