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 $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $2,137.96 Typical High $2,137.96 | Professional | None | $933.25 | $2,137.96 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $3,019.95 Typical High $3,019.95 | Facility | None | $1,584.89 | $3,019.95 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $2,818.38 Median $3,235.94 Typical High $3,630.78 | Professional | None | $2,818.38 | $3,235.94 | $3,630.78 |
Hally Health Setting Professional Modifier None Typical Low $2,187.76 Median $2,691.53 Typical High $3,162.28 | Professional | None | $2,187.76 | $2,691.53 | $3,162.28 |
Medica Setting Facility Modifier None Typical Low $1,862.09 Median $2,951.21 Typical High $11,481.54 | Facility | None | $1,862.09 | $2,951.21 | $11,481.54 |
Medica Setting Professional Modifier None Typical Low $1,348.96 Median $2,344.23 Typical High $6,309.57 | Professional | None | $1,348.96 | $2,344.23 | $6,309.57 |
Midlands Setting Professional Modifier None Typical Low $3,162.28 Median $3,235.94 Typical High $3,630.78 | Professional | None | $3,162.28 | $3,235.94 | $3,630.78 |
Midlands Setting Facility Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Facility | None | $3,019.95 | $3,019.95 | $3,019.95 |
Midlands Setting Professional Modifier None Typical Low $2,511.89 Median $4,570.88 Typical High $4,570.88 | Professional | None | $2,511.89 | $4,570.88 | $4,570.88 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $3,548.13 Typical High $6,760.83 | Facility | None | $1,445.44 | $3,548.13 | $6,760.83 |
United Setting Professional Modifier None Typical Low $1,258.93 Median $1,348.96 Typical High $2,398.83 | Professional | None | $1,258.93 | $1,348.96 | $2,398.83 |
Wellmark Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,691.53 | $2,691.53 | $2,691.53 |
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 $467.74 Median $1,047.13 Typical High $1,047.13 | Professional | 52 · Reduced service | $467.74 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $426.58 Typical High $426.58 | Professional | 53 · Discontinued | $190.55 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $316.23 Typical High $316.23 | Professional | 55 · Aftercare only | $141.25 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $213.80 Typical High $213.80 | Professional | 56 · Pre-op care only | $95.50 | $213.80 | $213.80 |
Where Iowa sits
The same service costs 2.7 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· 3rd of 51
$2,692
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.