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 $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $1,737.80 Typical High $1,737.80 | Professional | None | $831.76 | $1,737.80 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $2,511.89 Typical High $2,511.89 | Facility | None | $1,230.27 | $2,511.89 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $2,238.72 Median $2,884.03 Typical High $2,951.21 | Professional | None | $2,238.72 | $2,884.03 | $2,951.21 |
Hally Health Setting Professional Modifier None Typical Low $1,949.84 Median $2,238.72 Typical High $2,570.40 | Professional | None | $1,949.84 | $2,238.72 | $2,570.40 |
Medica Setting Facility Modifier None Typical Low $1,513.56 Median $2,454.71 Typical High $10,232.93 | Facility | None | $1,513.56 | $2,454.71 | $10,232.93 |
Medica Setting Professional Modifier None Typical Low $1,096.48 Median $1,905.46 Typical High $5,623.41 | Professional | None | $1,096.48 | $1,905.46 | $5,623.41 |
Midlands Setting Professional Modifier None Typical Low $2,570.40 Median $2,884.03 Typical High $2,951.21 | Professional | None | $2,570.40 | $2,884.03 | $2,951.21 |
Midlands Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
Midlands Setting Professional Modifier None Typical Low $2,238.72 Median $3,715.35 Typical High $3,715.35 | Professional | None | $2,238.72 | $3,715.35 | $3,715.35 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,162.28 Typical High $6,025.60 | Facility | None | $1,202.26 | $3,162.28 | $6,025.60 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,096.48 Typical High $1,949.84 | Professional | None | $1,023.29 | $1,096.48 | $1,949.84 |
Wellmark Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Professional | None | $2,238.72 | $2,238.72 | $2,238.72 |
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 $416.87 Median $870.96 Typical High $870.96 | Professional | 52 · Reduced service | $416.87 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $346.74 Typical High $346.74 | Professional | 53 · Discontinued | $169.82 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $257.04 Typical High $257.04 | Professional | 55 · Aftercare only | $125.89 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $173.78 Typical High $173.78 | Professional | 56 · Pre-op care only | $85.11 | $173.78 | $173.78 |
Where Iowa sits
The same service costs 3.1 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· 7th of 51
$2,239
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.