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 $7,943.28 Median $7,943.28 Typical High $7,943.28 | Facility | None | $7,943.28 | $7,943.28 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $4,466.84 Median $7,943.28 Typical High $8,709.64 | Professional | None | $4,466.84 | $7,943.28 | $8,709.64 |
Cigna Setting Facility Modifier None Typical Low $6,606.93 Median $11,481.54 Typical High $11,481.54 | Facility | None | $6,606.93 | $11,481.54 | $11,481.54 |
Cigna Setting Professional Modifier None Typical Low $10,471.29 Median $13,803.84 Typical High $14,791.08 | Professional | None | $10,471.29 | $13,803.84 | $14,791.08 |
Hally Health Setting Professional Modifier None Typical Low $8,912.51 Median $10,232.93 Typical High $12,022.64 | Professional | None | $8,912.51 | $10,232.93 | $12,022.64 |
Medica Setting Facility Modifier None Typical Low $6,918.31 Median $11,220.18 Typical High $47,863.01 | Facility | None | $6,918.31 | $11,220.18 | $47,863.01 |
Medica Setting Professional Modifier None Typical Low $5,128.61 Median $8,709.64 Typical High $26,915.35 | Professional | None | $5,128.61 | $8,709.64 | $26,915.35 |
Midlands Setting Professional Modifier None Typical Low $12,022.64 Median $13,803.84 Typical High $13,803.84 | Professional | None | $12,022.64 | $13,803.84 | $13,803.84 |
Midlands Setting Facility Modifier None Typical Low $11,481.54 Median $11,481.54 Typical High $11,481.54 | Facility | None | $11,481.54 | $11,481.54 | $11,481.54 |
Midlands Setting Professional Modifier None Typical Low $10,471.29 Median $16,982.44 Typical High $16,982.44 | Professional | None | $10,471.29 | $16,982.44 | $16,982.44 |
United Setting Facility Modifier None Typical Low $15,135.61 Median $15,135.61 Typical High $28,840.32 | Facility | None | $15,135.61 | $15,135.61 | $28,840.32 |
United Setting Professional Modifier None Typical Low $4,786.30 Median $5,128.61 Typical High $8,912.51 | Professional | None | $4,786.30 | $5,128.61 | $8,912.51 |
Wellmark Setting Professional Modifier None Typical Low $10,232.93 Median $10,232.93 Typical High $10,232.93 | Professional | None | $10,232.93 | $10,232.93 | $10,232.93 |
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 $676.08 Median $1,202.26 Typical High $1,288.25 | Professional | 55 · Aftercare only | $676.08 | $1,202.26 | $1,288.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $446.68 Median $794.33 Typical High $870.96 | Professional | 56 · Pre-op care only | $446.68 | $794.33 | $870.96 |
Where Iowa sits
The same service costs 2.3 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· 5th of 51
$10,233
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.