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 $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $2,884.03 Typical High $2,884.03 | Professional | None | $1,445.44 | $2,884.03 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $4,073.80 Typical High $4,073.80 | Facility | None | $2,454.71 | $4,073.80 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $3,801.89 Median $4,897.79 Typical High $5,623.41 | Professional | None | $3,801.89 | $4,897.79 | $5,623.41 |
Hally Health Setting Professional Modifier None Typical Low $3,311.31 Median $3,801.89 Typical High $4,265.80 | Professional | None | $3,311.31 | $3,801.89 | $4,265.80 |
Medica Setting Facility Modifier None Typical Low $2,511.89 Median $3,981.07 Typical High $17,782.79 | Facility | None | $2,511.89 | $3,981.07 | $17,782.79 |
Medica Setting Professional Modifier None Typical Low $1,819.70 Median $3,162.28 Typical High $9,549.93 | Professional | None | $1,819.70 | $3,162.28 | $9,549.93 |
Midlands Setting Professional Modifier None Typical Low $4,265.80 Median $4,897.79 Typical High $4,897.79 | Professional | None | $4,265.80 | $4,897.79 | $4,897.79 |
Midlands Setting Facility Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,073.80 | Facility | None | $4,073.80 | $4,073.80 | $4,073.80 |
Midlands Setting Professional Modifier None Typical Low $3,801.89 Median $6,165.95 Typical High $6,165.95 | Professional | None | $3,801.89 | $6,165.95 | $6,165.95 |
United Setting Facility Modifier None Typical Low $2,290.87 Median $5,370.32 Typical High $10,471.29 | Facility | None | $2,290.87 | $5,370.32 | $10,471.29 |
United Setting Professional Modifier None Typical Low $1,737.80 Median $1,862.09 Typical High $3,235.94 | Professional | None | $1,737.80 | $1,862.09 | $3,235.94 |
Wellmark Setting Professional Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Professional | None | $3,630.78 | $3,630.78 | $3,630.78 |
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 $741.31 Median $1,412.54 Typical High $1,412.54 | Professional | 52 · Reduced service | $741.31 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $575.44 Typical High $575.44 | Professional | 53 · Discontinued | $295.12 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $426.58 Typical High $426.58 | Professional | 55 · Aftercare only | $223.87 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $288.40 Typical High $288.40 | Professional | 56 · Pre-op care only | $147.91 | $288.40 | $288.40 |
Where Iowa sits
The same service costs 3.2 times more in Hawaii than in Washington, DC. 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
$3,631
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.