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 $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,621.81 Typical High $2,570.40 | Professional | None | $1,288.25 | $1,621.81 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $2,818.38 Typical High $2,818.38 | Facility | None | $1,548.82 | $2,818.38 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $2,570.40 Median $3,548.13 Typical High $3,801.89 | Professional | None | $2,570.40 | $3,548.13 | $3,801.89 |
Hally Health Setting Professional Modifier None Typical Low $2,089.30 Median $2,630.27 Typical High $3,019.95 | Professional | None | $2,089.30 | $2,630.27 | $3,019.95 |
Medica Setting Facility Modifier None Typical Low $1,737.80 Median $2,754.23 Typical High $12,302.69 | Facility | None | $1,737.80 | $2,754.23 | $12,302.69 |
Medica Setting Professional Modifier None Typical Low $1,258.93 Median $2,238.72 Typical High $6,760.83 | Professional | None | $1,258.93 | $2,238.72 | $6,760.83 |
Midlands Setting Professional Modifier None Typical Low $2,951.21 Median $3,548.13 Typical High $3,548.13 | Professional | None | $2,951.21 | $3,548.13 | $3,548.13 |
Midlands Setting Facility Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Facility | None | $2,818.38 | $2,818.38 | $2,818.38 |
Midlands Setting Professional Modifier None Typical Low $2,691.53 Median $4,168.69 Typical High $4,168.69 | Professional | None | $2,691.53 | $4,168.69 | $4,168.69 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $3,801.89 Typical High $7,413.10 | Facility | None | $1,659.59 | $3,801.89 | $7,413.10 |
United Setting Professional Modifier None Typical Low $1,174.90 Median $1,258.93 Typical High $2,238.72 | Professional | None | $1,174.90 | $1,258.93 | $2,238.72 |
Wellmark Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | None | $2,511.89 | $2,511.89 | $2,511.89 |
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 $645.65 Median $812.83 Typical High $1,288.25 | Professional | 52 · Reduced service | $645.65 | $812.83 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $323.59 Typical High $512.86 | Professional | 53 · Discontinued | $263.03 | $323.59 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $239.88 Typical High $389.05 | Professional | 55 · Aftercare only | $194.98 | $239.88 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $162.18 Typical High $257.04 | Professional | 56 · Pre-op care only | $131.83 | $162.18 | $257.04 |
Where Iowa sits
The same service costs 3.1 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· 7th of 51
$2,512
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.