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 $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $2,398.83 | Professional | None | $1,202.26 | $1,949.84 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $3,388.44 Typical High $3,388.44 | Facility | None | $1,698.24 | $3,388.44 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $2,754.23 Median $3,388.44 Typical High $3,981.07 | Professional | None | $2,754.23 | $3,388.44 | $3,981.07 |
Hally Health Setting Professional Modifier None Typical Low $2,041.74 Median $3,019.95 Typical High $3,630.78 | Professional | None | $2,041.74 | $3,019.95 | $3,630.78 |
Medica Setting Facility Modifier None Typical Low $2,089.30 Median $3,311.31 Typical High $11,748.98 | Facility | None | $2,089.30 | $3,311.31 | $11,748.98 |
Medica Setting Professional Modifier None Typical Low $1,348.96 Median $2,630.27 Typical High $6,606.93 | Professional | None | $1,348.96 | $2,630.27 | $6,606.93 |
Midlands Setting Professional Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $3,548.13 | Professional | None | $3,388.44 | $3,388.44 | $3,548.13 |
Midlands Setting Professional Modifier None Typical Low $2,630.27 Median $5,128.61 Typical High $5,128.61 | Professional | None | $2,630.27 | $5,128.61 | $5,128.61 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $3,715.35 Typical High $7,079.46 | Facility | None | $1,513.56 | $3,715.35 | $7,079.46 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,513.56 Typical High $2,691.53 | Professional | None | $1,148.15 | $1,513.56 | $2,691.53 |
Wellmark Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | None | $3,019.95 | $3,019.95 | $3,019.95 |
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 $602.56 Median $977.24 Typical High $1,174.90 | Professional | 52 · Reduced service | $602.56 | $977.24 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $389.05 Typical High $478.63 | Professional | 53 · Discontinued | $239.88 | $389.05 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $288.40 Typical High $354.81 | Professional | 55 · Aftercare only | $177.83 | $288.40 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $194.98 Typical High $239.88 | Professional | 56 · Pre-op care only | $120.23 | $194.98 | $239.88 |
Where Iowa sits
The same service costs 2.8 times more in Hawaii than in Arizona. 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
$3,020
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.