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 $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $64.57 | Professional | None | $45.71 | $45.71 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $41.69 | Facility | None | $38.02 | $38.02 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $123.03 Typical High $131.83 | Professional | None | $77.62 | $123.03 | $131.83 |
Hally Health Setting Professional Modifier None Typical Low $147.91 Median $151.36 Typical High $162.18 | Professional | None | $147.91 | $151.36 | $162.18 |
Medica Setting Facility Modifier None Typical Low $50.12 Median $151.36 Typical High $436.52 | Facility | None | $50.12 | $151.36 | $436.52 |
Medica Setting Professional Modifier None Typical Low $47.86 Median $83.18 Typical High $575.44 | Professional | None | $47.86 | $83.18 | $575.44 |
Midlands Setting Professional Modifier None Typical Low $77.62 Median $123.03 Typical High $165.96 | Professional | None | $77.62 | $123.03 | $165.96 |
Midlands Setting Professional Modifier None Typical Low $154.88 Median $165.96 Typical High $165.96 | Professional | None | $154.88 | $165.96 | $165.96 |
United Setting Professional Modifier None Typical Low $46.77 Median $50.12 Typical High $97.72 | Professional | None | $46.77 | $50.12 | $97.72 |
Wellmark Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
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 $22.91 Median $22.91 Typical High $36.31 | Professional | 52 · Reduced service | $22.91 | $22.91 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $14.45 | Professional | 53 · Discontinued | $9.12 | $9.12 | $14.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $6.92 Typical High $10.96 | Professional | 55 · Aftercare only | $6.92 | $6.92 | $10.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $4.57 Typical High $7.24 | Professional | 56 · Pre-op care only | $4.57 | $4.57 | $7.24 |
Where Iowa sits
The same service costs 49.0 times more in North Dakota than in Hawaii. 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
$75.86
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.