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 $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $1,174.90 Typical High $1,698.24 | Professional | None | $851.14 | $1,174.90 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $2,041.74 Typical High $2,041.74 | Facility | None | $1,380.38 | $2,041.74 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $1,995.26 Median $2,691.53 Typical High $3,019.95 | Professional | None | $1,995.26 | $2,691.53 | $3,019.95 |
Hally Health Setting Professional Modifier None Typical Low $1,548.82 Median $1,905.46 Typical High $2,137.96 | Professional | None | $1,548.82 | $1,905.46 | $2,137.96 |
Medica Setting Facility Modifier None Typical Low $1,258.93 Median $1,995.26 Typical High $9,332.54 | Facility | None | $1,258.93 | $1,995.26 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $912.01 Median $1,584.89 Typical High $5,128.61 | Professional | None | $912.01 | $1,584.89 | $5,128.61 |
Midlands Setting Professional Modifier None Typical Low $2,137.96 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,137.96 | $2,691.53 | $2,691.53 |
Midlands Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
Midlands Setting Professional Modifier None Typical Low $2,041.74 Median $3,019.95 Typical High $3,019.95 | Professional | None | $2,041.74 | $3,019.95 | $3,019.95 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $2,884.03 Typical High $5,623.41 | Facility | None | $1,174.90 | $2,884.03 | $5,623.41 |
United Setting Professional Modifier None Typical Low $870.96 Median $912.01 Typical High $1,621.81 | Professional | None | $870.96 | $912.01 | $1,621.81 |
Wellmark Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,819.70 | $1,819.70 | $1,819.70 |
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 $426.58 Median $588.84 Typical High $851.14 | Professional | 52 · Reduced service | $426.58 | $588.84 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $234.42 Typical High $338.84 | Professional | 53 · Discontinued | $169.82 | $234.42 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $173.78 Typical High $251.19 | Professional | 55 · Aftercare only | $128.82 | $173.78 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $117.49 Typical High $169.82 | Professional | 56 · Pre-op care only | $85.11 | $117.49 | $169.82 |
Where Iowa sits
The same service costs 2.7 times more in Hawaii 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· 8th of 51
$1,820
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.