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 $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $1,000.00 Typical High $1,096.48 | Professional | None | $562.34 | $1,000.00 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $724.44 | $1,445.44 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,737.80 Typical High $1,862.09 | Professional | None | $1,318.26 | $1,737.80 | $1,862.09 |
Hally Health Setting Professional Modifier None Typical Low $1,258.93 Median $1,288.25 Typical High $1,584.89 | Professional | None | $1,258.93 | $1,288.25 | $1,584.89 |
Medica Setting Facility Modifier None Typical Low $891.25 Median $1,412.54 Typical High $6,025.60 | Facility | None | $891.25 | $1,412.54 | $6,025.60 |
Medica Setting Professional Modifier None Typical Low $645.65 Median $1,096.48 Typical High $3,388.44 | Professional | None | $645.65 | $1,096.48 | $3,388.44 |
Midlands Setting Professional Modifier None Typical Low $1,513.56 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,513.56 | $1,737.80 | $1,737.80 |
Midlands 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 |
Midlands Setting Professional Modifier None Typical Low $1,318.26 Median $2,137.96 Typical High $2,137.96 | Professional | None | $1,318.26 | $2,137.96 | $2,137.96 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $3,630.78 | Facility | None | $1,905.46 | $1,905.46 | $3,630.78 |
United Setting Professional Modifier None Typical Low $602.56 Median $645.65 Typical High $1,148.15 | Professional | None | $602.56 | $645.65 | $1,148.15 |
Wellmark Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
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 $85.11 Median $151.36 Typical High $165.96 | Professional | 55 · Aftercare only | $85.11 | $151.36 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $100.00 Typical High $109.65 | Professional | 56 · Pre-op care only | $56.23 | $100.00 | $109.65 |
Where Iowa sits
The same service costs 2.4 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
$1,288
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.