How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $3,890.45 Median $3,890.45 Typical High $15,135.61 | Facility | None | $3,890.45 | $3,890.45 | $15,135.61 |
Aetna Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,981.07 | Professional | None | $3,890.45 | $3,890.45 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $4,786.30 Typical High $6,309.57 | Professional | None | $602.56 | $4,786.30 | $6,309.57 |
Hally Health Setting Professional Modifier None Typical Low $3,311.31 Median $3,890.45 Typical High $8,709.64 | Professional | None | $3,311.31 | $3,890.45 | $8,709.64 |
Medica Setting Facility Modifier None Typical Low $1.00 Median $6,165.95 Typical High $6,918.31 | Facility | None | $1.00 | $6,165.95 | $6,918.31 |
Medica Setting Professional Modifier None Typical Low $5,623.41 Median $5,888.44 Typical High $6,760.83 | Professional | None | $5,623.41 | $5,888.44 | $6,760.83 |
Midlands Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
Midlands Setting Professional Modifier None Typical Low $588.84 Median $602.56 Typical High $6,025.60 | Professional | None | $588.84 | $602.56 | $6,025.60 |
United Setting Professional Modifier None Typical Low $5,623.41 Median $6,025.60 Typical High $6,760.83 | Professional | None | $5,623.41 | $6,025.60 | $6,760.83 |
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 $1,949.84 Median $1,949.84 Typical High $1,995.26 | Professional | 52 · Reduced service | $1,949.84 | $1,949.84 | $1,995.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $776.25 Median $776.25 Typical High $794.33 | Professional | 53 · Discontinued | $776.25 | $776.25 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $575.44 Median $575.44 Typical High $602.56 | Professional | 55 · Aftercare only | $575.44 | $575.44 | $602.56 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $389.05 Median $389.05 Typical High $398.11 | Professional | 56 · Pre-op care only | $389.05 | $389.05 | $398.11 |
Where Iowa sits
The same service costs 1.5 times more in Alaska than in Idaho. 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· 4th of 51
$5,623
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.