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 $707.95 Median $1,071.52 Typical High $1,479.11 | Professional | None | $707.95 | $1,071.52 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,862.09 Typical High $1,862.09 | Facility | None | $851.14 | $1,862.09 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $2,041.74 Typical High $2,238.72 | Professional | None | $1,584.89 | $2,041.74 | $2,238.72 |
Hally Health Setting Professional Modifier None Typical Low $1,174.90 Median $1,513.56 Typical High $1,949.84 | Professional | None | $1,174.90 | $1,513.56 | $1,949.84 |
Medica Setting Facility Modifier None Typical Low $1,148.15 Median $1,819.70 Typical High $7,413.10 | Facility | None | $1,148.15 | $1,819.70 | $7,413.10 |
Medica Setting Professional Modifier None Typical Low $794.33 Median $1,445.44 Typical High $3,981.07 | Professional | None | $794.33 | $1,445.44 | $3,981.07 |
Midlands Setting Professional Modifier None Typical Low $1,949.84 Median $2,041.74 Typical High $2,238.72 | Professional | None | $1,949.84 | $2,041.74 | $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 $1,584.89 Median $2,818.38 Typical High $2,818.38 | Professional | None | $1,584.89 | $2,818.38 | $2,818.38 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $2,238.72 Typical High $4,265.80 | Facility | None | $1,318.26 | $2,238.72 | $4,265.80 |
United Setting Professional Modifier None Typical Low $691.83 Median $831.76 Typical High $1,479.11 | Professional | None | $691.83 | $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 $363.08 Median $537.03 Typical High $741.31 | Professional | 52 · Reduced service | $363.08 | $537.03 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $213.80 Typical High $295.12 | Professional | 53 · Discontinued | $144.54 | $213.80 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $162.18 Typical High $223.87 | Professional | 55 · Aftercare only | $107.15 | $162.18 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $107.15 Typical High $147.91 | Professional | 56 · Pre-op care only | $72.44 | $107.15 | $147.91 |
Where Iowa sits
The same service costs 5.1 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· 3rd 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.