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 $3,890.45 Median $3,890.45 Typical High $3,890.45 | Facility | None | $3,890.45 | $3,890.45 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $1,819.70 Median $3,890.45 Typical High $3,890.45 | Professional | None | $1,819.70 | $3,890.45 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $3,388.44 Median $5,495.41 Typical High $5,495.41 | Facility | None | $3,388.44 | $5,495.41 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $5,128.61 Median $6,025.60 Typical High $6,760.83 | Professional | None | $5,128.61 | $6,025.60 | $6,760.83 |
Hally Health Setting Professional Modifier None Typical Low $4,168.69 Median $4,897.79 Typical High $5,754.40 | Professional | None | $4,168.69 | $4,897.79 | $5,754.40 |
Medica Setting Facility Modifier None Typical Low $3,388.44 Median $5,495.41 Typical High $21,379.62 | Facility | None | $3,388.44 | $5,495.41 | $21,379.62 |
Medica Setting Professional Modifier None Typical Low $2,454.71 Median $4,265.80 Typical High $11,748.98 | Professional | None | $2,454.71 | $4,265.80 | $11,748.98 |
Midlands Setting Professional Modifier None Typical Low $5,754.40 Median $6,025.60 Typical High $6,606.93 | Professional | None | $5,754.40 | $6,025.60 | $6,606.93 |
Midlands Setting Facility Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $5,495.41 | Facility | None | $5,495.41 | $5,495.41 | $5,495.41 |
Midlands Setting Professional Modifier None Typical Low $4,677.35 Median $8,317.64 Typical High $8,317.64 | Professional | None | $4,677.35 | $8,317.64 | $8,317.64 |
United Setting Facility Modifier None Typical Low $5,495.41 Median $6,606.93 Typical High $12,882.50 | Facility | None | $5,495.41 | $6,606.93 | $12,882.50 |
United Setting Professional Modifier None Typical Low $2,290.87 Median $2,454.71 Typical High $4,365.16 | Professional | None | $2,290.87 | $2,454.71 | $4,365.16 |
Wellmark Setting Professional Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $4,897.79 | Professional | None | $4,897.79 | $4,897.79 | $4,897.79 |
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 $912.01 Median $1,905.46 Typical High $1,905.46 | Professional | 52 · Reduced service | $912.01 | $1,905.46 | $1,905.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $776.25 Typical High $776.25 | Professional | 53 · Discontinued | $371.54 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $575.44 Typical High $575.44 | Professional | 55 · Aftercare only | $275.42 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $389.05 Typical High $389.05 | Professional | 56 · Pre-op care only | $186.21 | $389.05 | $389.05 |
Where Iowa sits
The same service costs 2.1 times more in Montana than in South Carolina. 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· 2nd of 51
$4,898
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.