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 $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $616.60 Typical High $616.60 | Professional | None | $288.40 | $616.60 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $891.25 Typical High $891.25 | Facility | None | $380.19 | $891.25 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $891.25 Typical High $1,047.13 | Professional | None | $691.83 | $891.25 | $1,047.13 |
Hally Health Setting Professional Modifier None Typical Low $602.56 Median $776.25 Typical High $933.25 | Professional | None | $602.56 | $776.25 | $933.25 |
Medica Setting Facility Modifier None Typical Low $549.54 Median $870.96 Typical High $3,311.31 | Facility | None | $549.54 | $870.96 | $3,311.31 |
Medica Setting Professional Modifier None Typical Low $398.11 Median $676.08 Typical High $1,737.80 | Professional | None | $398.11 | $676.08 | $1,737.80 |
Midlands Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $933.25 | Professional | None | $891.25 | $891.25 | $933.25 |
Midlands Setting Professional Modifier None Typical Low $691.83 Median $1,318.26 Typical High $1,318.26 | Professional | None | $691.83 | $1,318.26 | $1,318.26 |
United Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $1,862.09 | Facility | None | $977.24 | $977.24 | $1,862.09 |
United Setting Professional Modifier None Typical Low $346.74 Median $398.11 Typical High $707.95 | Professional | None | $346.74 | $398.11 | $707.95 |
Wellmark Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
2 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 55 · Aftercare only Typical Low $43.65 Median $93.33 Typical High $93.33 | Professional | 55 · Aftercare only | $43.65 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $61.66 Typical High $61.66 | Professional | 56 · Pre-op care only | $28.84 | $61.66 | $61.66 |
Where Iowa sits
The same service costs 3.7 times more in Alaska 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· 4th of 51
$794
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.