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 $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $97.72 Typical High $125.89 | Professional | None | $66.07 | $97.72 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $173.78 Typical High $173.78 | Facility | None | $87.10 | $173.78 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $204.17 Typical High $223.87 | Professional | None | $158.49 | $204.17 | $223.87 |
Hally Health Setting Professional Modifier None Typical Low $125.89 Median $141.25 Typical High $165.96 | Professional | None | $125.89 | $141.25 | $165.96 |
Medica Setting Facility Modifier None Typical Low $104.71 Median $169.82 Typical High $707.95 | Facility | None | $104.71 | $169.82 | $707.95 |
Medica Setting Professional Modifier None Typical Low $75.86 Median $131.83 Typical High $398.11 | Professional | None | $75.86 | $131.83 | $398.11 |
Midlands Setting Professional Modifier None Typical Low $181.97 Median $204.17 Typical High $204.17 | Professional | None | $181.97 | $204.17 | $204.17 |
Midlands Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Midlands Setting Professional Modifier None Typical Low $158.49 Median $257.04 Typical High $257.04 | Professional | None | $158.49 | $257.04 | $257.04 |
United Setting Facility Modifier None Typical Low $69.18 Median $223.87 Typical High $436.52 | Facility | None | $69.18 | $223.87 | $436.52 |
United Setting Professional Modifier None Typical Low $69.18 Median $75.86 Typical High $134.90 | Professional | None | $69.18 | $75.86 | $134.90 |
Wellmark Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
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 $33.11 Median $48.98 Typical High $64.57 | Professional | 52 · Reduced service | $33.11 | $48.98 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $19.50 Typical High $25.70 | Professional | 53 · Discontinued | $13.18 | $19.50 | $25.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $14.79 Typical High $19.50 | Professional | 55 · Aftercare only | $9.77 | $14.79 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $9.77 Typical High $12.88 | Professional | 56 · Pre-op care only | $6.61 | $9.77 | $12.88 |
Where Iowa sits
The same service costs 2.5 times more in Arkansas than in Florida. 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· 2nd of 51
$155
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.