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 $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,202.26 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $1,202.26 Typical High $1,819.70 | Professional | None | $912.01 | $1,202.26 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $2,089.30 Typical High $2,089.30 | Facility | None | $1,174.90 | $2,089.30 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $2,818.38 Typical High $2,884.03 | Professional | None | $1,949.84 | $2,818.38 | $2,884.03 |
Hally Health Setting Professional Modifier None Typical Low $1,584.89 Median $1,995.26 Typical High $2,398.83 | Professional | None | $1,584.89 | $1,995.26 | $2,398.83 |
Medica Setting Facility Modifier None Typical Low $1,288.25 Median $2,041.74 Typical High $10,000.00 | Facility | None | $1,288.25 | $2,041.74 | $10,000.00 |
Medica Setting Professional Modifier None Typical Low $933.25 Median $1,698.24 Typical High $5,495.41 | Professional | None | $933.25 | $1,698.24 | $5,495.41 |
Midlands Setting Professional Modifier None Typical Low $2,187.76 Median $2,818.38 Typical High $2,818.38 | Professional | None | $2,187.76 | $2,818.38 | $2,818.38 |
Midlands Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
Midlands Setting Professional Modifier None Typical Low $2,137.96 Median $3,162.28 Typical High $3,162.28 | Professional | None | $2,137.96 | $3,162.28 | $3,162.28 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,090.30 Typical High $5,888.44 | Facility | None | $1,258.93 | $3,090.30 | $5,888.44 |
United Setting Professional Modifier None Typical Low $912.01 Median $933.25 Typical High $1,659.59 | Professional | None | $912.01 | $933.25 | $1,659.59 |
Wellmark Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
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 $457.09 Median $602.56 Typical High $912.01 | Professional | 52 · Reduced service | $457.09 | $602.56 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $239.88 Typical High $363.08 | Professional | 53 · Discontinued | $181.97 | $239.88 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $181.97 Typical High $269.15 | Professional | 55 · Aftercare only | $138.04 | $181.97 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $120.23 Typical High $181.97 | Professional | 56 · Pre-op care only | $91.20 | $120.23 | $181.97 |
Where Iowa sits
The same service costs 3.3 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· 10th of 51
$1,862
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.