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 $40.74 Median $40.74 Typical High $162.18 | Facility | None | $40.74 | $40.74 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $42.66 | Professional | None | $40.74 | $40.74 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $52.48 Typical High $52.48 | Professional | None | $30.20 | $52.48 | $52.48 |
Hally Health Setting Professional Modifier None Typical Low $52.48 Median $58.88 Typical High $63.10 | Professional | None | $52.48 | $58.88 | $63.10 |
Medica Setting Facility Modifier None Typical Low $40.74 Median $43.65 Typical High $64.57 | Facility | None | $40.74 | $43.65 | $64.57 |
Medica Setting Professional Modifier None Typical Low $40.74 Median $44.67 Typical High $229.09 | Professional | None | $40.74 | $44.67 | $229.09 |
Midlands Setting Professional Modifier None Typical Low $46.77 Median $52.48 Typical High $52.48 | Professional | None | $46.77 | $52.48 | $52.48 |
Midlands Setting Professional Modifier None Typical Low $44.67 Median $66.07 Typical High $70.79 | Professional | None | $44.67 | $66.07 | $70.79 |
United Setting Professional Modifier None Typical Low $40.74 Median $42.66 Typical High $47.86 | Professional | None | $40.74 | $42.66 | $47.86 |
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 $20.42 Median $20.42 Typical High $21.38 | Professional | 52 · Reduced service | $20.42 | $20.42 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.13 Typical High $8.51 | Professional | 53 · Discontinued | $8.13 | $8.13 | $8.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $6.17 Typical High $6.31 | Professional | 55 · Aftercare only | $6.17 | $6.17 | $6.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $4.07 Typical High $4.27 | Professional | 56 · Pre-op care only | $4.07 | $4.07 | $4.27 |
Where Iowa sits
The same service costs 2.0 times more in Alaska than in New Mexico. 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
$44.67
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.