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 $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $1,862.09 Typical High $1,862.09 | Professional | None | $933.25 | $1,862.09 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $1,621.81 Median $2,630.27 Typical High $2,630.27 | Facility | None | $1,621.81 | $2,630.27 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $2,454.71 Median $3,090.30 Typical High $3,630.78 | Professional | None | $2,454.71 | $3,090.30 | $3,630.78 |
Hally Health Setting Professional Modifier None Typical Low $2,137.96 Median $2,511.89 Typical High $3,019.95 | Professional | None | $2,137.96 | $2,511.89 | $3,019.95 |
Medica Setting Facility Modifier None Typical Low $1,621.81 Median $2,630.27 Typical High $11,220.18 | Facility | None | $1,621.81 | $2,630.27 | $11,220.18 |
Medica Setting Professional Modifier None Typical Low $1,174.90 Median $2,041.74 Typical High $6,025.60 | Professional | None | $1,174.90 | $2,041.74 | $6,025.60 |
Midlands Setting Professional Modifier None Typical Low $2,754.23 Median $3,090.30 Typical High $3,162.28 | Professional | None | $2,754.23 | $3,090.30 | $3,162.28 |
Midlands Setting Facility Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Facility | None | $2,630.27 | $2,630.27 | $2,630.27 |
Midlands Setting Professional Modifier None Typical Low $2,398.83 Median $3,981.07 Typical High $3,981.07 | Professional | None | $2,398.83 | $3,981.07 | $3,981.07 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $3,388.44 Typical High $6,606.93 | Facility | None | $1,380.38 | $3,388.44 | $6,606.93 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,202.26 Typical High $2,089.30 | Professional | None | $1,122.02 | $1,202.26 | $2,089.30 |
Wellmark Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Professional | None | $2,344.23 | $2,344.23 | $2,344.23 |
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 $912.01 Typical High $912.01 | Professional | 52 · Reduced service | $457.09 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $371.54 Typical High $371.54 | Professional | 53 · Discontinued | $186.21 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $275.42 Typical High $275.42 | Professional | 55 · Aftercare only | $138.04 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $186.21 Typical High $186.21 | Professional | 56 · Pre-op care only | $93.33 | $186.21 | $186.21 |
Where Iowa sits
The same service costs 2.7 times more in Hawaii than in Pennsylvania. 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· 7th of 51
$2,344
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.