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 $2,238.72 Median $2,238.72 Typical High $2,238.72 | Facility | None | $2,238.72 | $2,238.72 | $2,238.72 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $2,238.72 Typical High $2,238.72 | Professional | None | $1,071.52 | $2,238.72 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $3,235.94 Typical High $3,235.94 | Facility | None | $1,778.28 | $3,235.94 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $2,951.21 Median $3,630.78 Typical High $3,981.07 | Professional | None | $2,951.21 | $3,630.78 | $3,981.07 |
Hally Health Setting Professional Modifier None Typical Low $2,398.83 Median $2,884.03 Typical High $3,388.44 | Professional | None | $2,398.83 | $2,884.03 | $3,388.44 |
Medica Setting Facility Modifier None Typical Low $1,949.84 Median $3,162.28 Typical High $12,882.50 | Facility | None | $1,949.84 | $3,162.28 | $12,882.50 |
Medica Setting Professional Modifier None Typical Low $1,445.44 Median $2,454.71 Typical High $7,079.46 | Professional | None | $1,445.44 | $2,454.71 | $7,079.46 |
Midlands Setting Professional Modifier None Typical Low $3,388.44 Median $3,630.78 Typical High $3,801.89 | Professional | None | $3,388.44 | $3,630.78 | $3,801.89 |
Midlands Setting Facility Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Facility | None | $3,235.94 | $3,235.94 | $3,235.94 |
Midlands Setting Professional Modifier None Typical Low $2,754.23 Median $4,786.30 Typical High $4,786.30 | Professional | None | $2,754.23 | $4,786.30 | $4,786.30 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $3,981.07 Typical High $7,585.78 | Facility | None | $1,548.82 | $3,981.07 | $7,585.78 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $1,445.44 Typical High $2,511.89 | Professional | None | $1,348.96 | $1,445.44 | $2,511.89 |
Wellmark Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,884.03 | $2,884.03 | $2,884.03 |
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 $537.03 Median $1,122.02 Typical High $1,122.02 | Professional | 52 · Reduced service | $537.03 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $446.68 Typical High $446.68 | Professional | 53 · Discontinued | $218.78 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $338.84 Typical High $338.84 | Professional | 55 · Aftercare only | $162.18 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $223.87 Typical High $223.87 | Professional | 56 · Pre-op care only | $107.15 | $223.87 | $223.87 |
Where Iowa sits
The same service costs 2.7 times more in Hawaii than in Maryland. 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· 6th of 51
$2,884
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.