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 $9.33 Median $9.33 Typical High $23.99 | Facility | None | $9.33 | $9.33 | $23.99 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $13.18 Typical High $23.99 | Professional | None | $8.51 | $13.18 | $23.99 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $26.30 Typical High $36.31 | Professional | None | $11.48 | $26.30 | $36.31 |
Hally Health Setting Professional Modifier None Typical Low $7.94 Median $25.70 Typical High $50.12 | Professional | None | $7.94 | $25.70 | $50.12 |
Medica Setting Facility Modifier None Typical Low $15.14 Median $29.51 Typical High $50.12 | Facility | None | $15.14 | $29.51 | $50.12 |
Medica Setting Professional Modifier None Typical Low $12.59 Median $38.90 Typical High $147.91 | Professional | None | $12.59 | $38.90 | $147.91 |
Midlands Setting Professional Modifier None Typical Low $11.48 Median $34.67 Typical High $36.31 | Professional | None | $11.48 | $34.67 | $36.31 |
Midlands Setting Professional Modifier None Typical Low $17.78 Median $38.90 Typical High $58.88 | Professional | None | $17.78 | $38.90 | $58.88 |
United Setting Professional Modifier None Typical Low $9.33 Median $21.88 Typical High $48.98 | Professional | None | $9.33 | $21.88 | $48.98 |
Wellmark Setting Professional Modifier None Typical Low $16.98 Median $19.50 Typical High $60.26 | Professional | None | $16.98 | $19.50 | $60.26 |
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 $1.74 Typical High $3.63 | Professional | 55 · Aftercare only | $1.32 | $1.74 | $3.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.87 Median $1.17 Typical High $2.40 | Professional | 56 · Pre-op care only | $0.87 | $1.17 | $2.40 |
Where Iowa sits
The same service costs 3.8 times more in Alaska than in Washington, DC. 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· 7th of 51
$24.55
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.