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 $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $1,445.44 Typical High $1,584.89 | Professional | None | $812.83 | $1,445.44 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $2,089.30 Typical High $2,089.30 | Facility | None | $1,174.90 | $2,089.30 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $2,818.38 Typical High $3,090.30 | Professional | None | $2,041.74 | $2,818.38 | $3,090.30 |
Hally Health Setting Professional Modifier None Typical Low $1,819.70 Median $2,187.76 Typical High $2,454.71 | Professional | None | $1,819.70 | $2,187.76 | $2,454.71 |
Medica Setting Facility Modifier None Typical Low $1,288.25 Median $2,041.74 Typical High $9,772.37 | Facility | None | $1,288.25 | $2,041.74 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $933.25 Median $1,698.24 Typical High $5,370.32 | Professional | None | $933.25 | $1,698.24 | $5,370.32 |
Midlands Setting Professional Modifier None Typical Low $2,187.76 Median $2,818.38 Typical High $2,818.38 | Professional | None | $2,187.76 | $2,818.38 | $2,818.38 |
Midlands Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
Midlands Setting Professional Modifier None Typical Low $2,137.96 Median $3,090.30 Typical High $3,090.30 | Professional | None | $2,137.96 | $3,090.30 | $3,090.30 |
United Setting Facility Modifier None Typical Low $933.25 Median $3,019.95 Typical High $5,888.44 | Facility | None | $933.25 | $3,019.95 | $5,888.44 |
United Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,659.59 | Professional | None | $933.25 | $933.25 | $1,659.59 |
Wellmark Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
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 $407.38 Median $724.44 Typical High $776.25 | Professional | 52 · Reduced service | $407.38 | $724.44 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $288.40 Typical High $316.23 | Professional | 53 · Discontinued | $162.18 | $288.40 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $218.78 Typical High $234.42 | Professional | 55 · Aftercare only | $123.03 | $218.78 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $144.54 Typical High $158.49 | Professional | 56 · Pre-op care only | $81.28 | $144.54 | $158.49 |
Where Iowa sits
The same service costs 3.0 times more in Montana 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· 11th of 51
$1,862
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.