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 $42.66 Median $5,011.87 Typical High $7,943.28 | Facility | None | $42.66 | $5,011.87 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $46.77 Typical High $158.49 | Professional | None | $21.38 | $46.77 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $74.13 Typical High $120.23 | Professional | None | $28.84 | $74.13 | $120.23 |
Hally Health Setting Professional Modifier None Typical Low $19.95 Median $64.57 Typical High $194.98 | Professional | None | $19.95 | $64.57 | $194.98 |
Medica Setting Facility Modifier None Typical Low $40.74 Median $104.71 Typical High $407.38 | Facility | None | $40.74 | $104.71 | $407.38 |
Medica Setting Professional Modifier None Typical Low $30.90 Median $120.23 Typical High $537.03 | Professional | None | $30.90 | $120.23 | $537.03 |
Midlands Setting Professional Modifier None Typical Low $28.84 Median $120.23 Typical High $120.23 | Professional | None | $28.84 | $120.23 | $120.23 |
Midlands Setting Professional Modifier None Typical Low $41.69 Median $138.04 Typical High $194.98 | Professional | None | $41.69 | $138.04 | $194.98 |
United Setting Facility Modifier None Typical Low $302.00 Median $501.19 Typical High $630.96 | Facility | None | $302.00 | $501.19 | $630.96 |
United Setting Professional Modifier None Typical Low $24.55 Median $60.26 Typical High $158.49 | Professional | None | $24.55 | $60.26 | $158.49 |
Wellmark Setting Professional Modifier None Typical Low $22.39 Median $26.92 Typical High $112.20 | Professional | None | $22.39 | $26.92 | $112.20 |
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 $10.72 Median $20.89 Typical High $79.43 | Professional | 52 · Reduced service | $10.72 | $20.89 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $8.51 Typical High $31.62 | Professional | 53 · Discontinued | $4.27 | $8.51 | $31.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.24 Median $6.31 Typical High $23.44 | Professional | 55 · Aftercare only | $3.24 | $6.31 | $23.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.14 Median $4.27 Typical High $15.85 | Professional | 56 · Pre-op care only | $2.14 | $4.27 | $15.85 |
Where Iowa sits
The same service costs 6.5 times more in Alaska than in Indiana. 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· 3rd of 51
$87.10
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.