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 $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $120.23 Typical High $131.83 | Professional | None | $67.61 | $120.23 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $173.78 Typical High $173.78 | Facility | None | $100.00 | $173.78 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $208.93 Typical High $223.87 | Professional | None | $158.49 | $208.93 | $223.87 |
Hally Health Setting Professional Modifier None Typical Low $147.91 Median $154.88 Typical High $223.87 | Professional | None | $147.91 | $154.88 | $223.87 |
Medica Setting Facility Modifier None Typical Low $104.71 Median $169.82 Typical High $724.44 | Facility | None | $104.71 | $169.82 | $724.44 |
Medica Setting Professional Modifier None Typical Low $77.62 Median $131.83 Typical High $398.11 | Professional | None | $77.62 | $131.83 | $398.11 |
Midlands Setting Professional Modifier None Typical Low $181.97 Median $208.93 Typical High $208.93 | Professional | None | $181.97 | $208.93 | $208.93 |
Midlands Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Midlands Setting Professional Modifier None Typical Low $158.49 Median $257.04 Typical High $257.04 | Professional | None | $158.49 | $257.04 | $257.04 |
United Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $436.52 | Facility | None | $223.87 | $223.87 | $436.52 |
United Setting Professional Modifier None Typical Low $72.44 Median $77.62 Typical High $134.90 | Professional | None | $72.44 | $77.62 | $134.90 |
Wellmark Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
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 $10.00 Median $18.20 Typical High $19.50 | Professional | 55 · Aftercare only | $10.00 | $18.20 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $12.02 Typical High $13.18 | Professional | 56 · Pre-op care only | $6.76 | $12.02 | $13.18 |
Where Iowa sits
The same service costs 2.2 times more in Montana than in Florida. 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
$155
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.