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 $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $1,258.93 Typical High $1,380.38 | Professional | None | $707.95 | $1,258.93 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $1,819.70 Typical High $1,819.70 | Facility | None | $912.01 | $1,819.70 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $2,137.96 Typical High $2,691.53 | Professional | None | $1,659.59 | $2,137.96 | $2,691.53 |
Hally Health Setting Professional Modifier None Typical Low $1,584.89 Median $1,905.46 Typical High $2,089.30 | Professional | None | $1,584.89 | $1,905.46 | $2,089.30 |
Medica Setting Facility Modifier None Typical Low $1,122.02 Median $1,778.28 Typical High $7,585.78 | Facility | None | $1,122.02 | $1,778.28 | $7,585.78 |
Medica Setting Professional Modifier None Typical Low $812.83 Median $1,380.38 Typical High $4,168.69 | Professional | None | $812.83 | $1,380.38 | $4,168.69 |
Midlands Setting Professional Modifier None Typical Low $1,905.46 Median $2,137.96 Typical High $2,137.96 | Professional | None | $1,905.46 | $2,137.96 | $2,137.96 |
Midlands Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Midlands Setting Professional Modifier None Typical Low $1,659.59 Median $2,691.53 Typical High $2,691.53 | Professional | None | $1,659.59 | $2,691.53 | $2,691.53 |
United Setting Facility Modifier None Typical Low $954.99 Median $2,344.23 Typical High $4,570.88 | Facility | None | $954.99 | $2,344.23 | $4,570.88 |
United Setting Professional Modifier None Typical Low $758.58 Median $812.83 Typical High $1,445.44 | Professional | None | $758.58 | $812.83 | $1,445.44 |
Wellmark Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,621.81 | $1,621.81 | $1,621.81 |
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 $354.81 Median $630.96 Typical High $691.83 | Professional | 52 · Reduced service | $354.81 | $630.96 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $251.19 Typical High $275.42 | Professional | 53 · Discontinued | $141.25 | $251.19 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $190.55 Typical High $204.17 | Professional | 55 · Aftercare only | $107.15 | $190.55 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $125.89 Typical High $138.04 | Professional | 56 · Pre-op care only | $70.79 | $125.89 | $138.04 |
Where Iowa sits
The same service costs 3.2 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· 5th of 51
$1,622
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.