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 $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $1,071.52 Typical High $1,548.82 | Professional | None | $794.33 | $1,071.52 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $1,862.09 Typical High $1,862.09 | Facility | None | $933.25 | $1,862.09 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $2,238.72 Typical High $2,454.71 | Professional | None | $1,737.80 | $2,238.72 | $2,454.71 |
Hally Health Setting Professional Modifier None Typical Low $1,348.96 Median $1,698.24 Typical High $1,949.84 | Professional | None | $1,348.96 | $1,698.24 | $1,949.84 |
Medica Setting Facility Modifier None Typical Low $1,148.15 Median $1,862.09 Typical High $7,943.28 | Facility | None | $1,148.15 | $1,862.09 | $7,943.28 |
Medica Setting Professional Modifier None Typical Low $812.83 Median $1,445.44 Typical High $4,365.16 | Professional | None | $812.83 | $1,445.44 | $4,365.16 |
Midlands Setting Professional Modifier None Typical Low $1,949.84 Median $2,238.72 Typical High $2,238.72 | Professional | None | $1,949.84 | $2,238.72 | $2,238.72 |
Midlands Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
Midlands Setting Professional Modifier None Typical Low $1,737.80 Median $2,818.38 Typical High $2,818.38 | Professional | None | $1,737.80 | $2,818.38 | $2,818.38 |
United Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $4,786.30 | Facility | None | $2,454.71 | $2,454.71 | $4,786.30 |
United Setting Professional Modifier None Typical Low $758.58 Median $831.76 Typical High $1,479.11 | Professional | None | $758.58 | $831.76 | $1,479.11 |
Wellmark Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,659.59 | $1,659.59 | $1,659.59 |
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 $389.05 Median $537.03 Typical High $776.25 | Professional | 52 · Reduced service | $389.05 | $537.03 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $213.80 Typical High $309.03 | Professional | 53 · Discontinued | $158.49 | $213.80 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $162.18 Typical High $229.09 | Professional | 55 · Aftercare only | $117.49 | $162.18 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $107.15 Typical High $154.88 | Professional | 56 · Pre-op care only | $79.43 | $107.15 | $154.88 |
Where Iowa sits
The same service costs 2.6 times more in Hawaii than in Delaware. 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
$1,660
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.