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 $89.13 Median $173.78 Typical High $173.78 | Facility | None | $89.13 | $173.78 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $95.50 | Professional | None | $89.13 | $89.13 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $147.91 Typical High $165.96 | Professional | None | $87.10 | $147.91 | $165.96 |
Medica Setting Facility Modifier None Typical Low $104.71 Median $138.04 Typical High $229.09 | Facility | None | $104.71 | $138.04 | $229.09 |
Medica Setting Professional Modifier None Typical Low $91.20 Median $141.25 Typical High $602.56 | Professional | None | $91.20 | $141.25 | $602.56 |
Midlands Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $186.21 | Professional | None | $147.91 | $147.91 | $186.21 |
Midlands Setting Professional Modifier None Typical Low $123.03 Median $186.21 Typical High $234.42 | Professional | None | $123.03 | $186.21 | $234.42 |
Oscar Health Setting Professional Modifier None Typical Low $162.18 Median $181.97 Typical High $218.78 | Professional | None | $162.18 | $181.97 | $218.78 |
United Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $165.96 | Facility | None | $107.15 | $107.15 | $165.96 |
United Setting Professional Modifier None Typical Low $87.10 Median $104.71 Typical High $186.21 | Professional | None | $87.10 | $104.71 | $186.21 |
Wellmark Setting Professional Modifier None Typical Low $114.82 Median $134.90 Typical High $134.90 | Professional | None | $114.82 | $134.90 | $134.90 |
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 $44.67 Median $44.67 Typical High $46.77 | Professional | 52 · Reduced service | $44.67 | $44.67 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $18.62 | Professional | 53 · Discontinued | $17.78 | $17.78 | $18.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $13.18 Typical High $14.13 | Professional | 55 · Aftercare only | $13.18 | $13.18 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $8.91 Typical High $9.33 | Professional | 56 · Pre-op care only | $8.91 | $8.91 | $9.33 |
Where Iowa sits
The same service costs 3.3 times more in Alaska than in Kentucky. 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
$135
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.