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 $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $64.57 Typical High $66.07 | Professional | None | $28.84 | $64.57 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $74.13 Typical High $74.13 | Facility | None | $39.81 | $74.13 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $74.13 Typical High $95.50 | Professional | None | $67.61 | $74.13 | $95.50 |
Hally Health Setting Professional Modifier None Typical Low $66.07 Median $83.18 Typical High $125.89 | Professional | None | $66.07 | $83.18 | $125.89 |
Medica Setting Facility Modifier None Typical Low $44.67 Median $72.44 Typical High $309.03 | Facility | None | $44.67 | $72.44 | $309.03 |
Medica Setting Professional Modifier None Typical Low $32.36 Median $56.23 Typical High $144.54 | Professional | None | $32.36 | $56.23 | $144.54 |
Midlands Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $77.62 | Professional | None | $74.13 | $74.13 | $77.62 |
Midlands Setting Professional Modifier None Typical Low $56.23 Median $109.65 Typical High $109.65 | Professional | None | $56.23 | $109.65 | $109.65 |
United Setting Professional Modifier None Typical Low $28.18 Median $33.11 Typical High $57.54 | Professional | None | $28.18 | $33.11 | $57.54 |
Wellmark Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
4 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 52 · Reduced service Typical Low $18.62 Median $32.36 Typical High $33.11 | Professional | 52 · Reduced service | $18.62 | $32.36 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $12.88 Typical High $13.18 | Professional | 53 · Discontinued | $7.41 | $12.88 | $13.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.50 Median $9.55 Typical High $9.77 | Professional | 55 · Aftercare only | $5.50 | $9.55 | $9.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.72 Median $6.46 Typical High $6.61 | Professional | 56 · Pre-op care only | $3.72 | $6.46 | $6.61 |
Where Iowa sits
The same service costs 2.3 times more in Kansas than in New Jersey. 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· 6th of 51
$64.57
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.