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 $2,630.27 Median $2,630.27 Typical High $2,630.27 | Facility | None | $2,630.27 | $2,630.27 | $2,630.27 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $2,630.27 Typical High $2,691.53 | Professional | None | $1,412.54 | $2,630.27 | $2,691.53 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $3,715.35 Typical High $3,715.35 | Facility | None | $2,454.71 | $3,715.35 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $3,630.78 Median $4,786.30 Typical High $5,495.41 | Professional | None | $3,630.78 | $4,786.30 | $5,495.41 |
Hally Health Setting Professional Modifier None Typical Low $3,162.28 Median $3,801.89 Typical High $4,466.84 | Professional | None | $3,162.28 | $3,801.89 | $4,466.84 |
Medica Setting Facility Modifier None Typical Low $2,290.87 Median $3,715.35 Typical High $16,982.44 | Facility | None | $2,290.87 | $3,715.35 | $16,982.44 |
Medica Setting Professional Modifier None Typical Low $1,659.59 Median $2,951.21 Typical High $9,120.11 | Professional | None | $1,659.59 | $2,951.21 | $9,120.11 |
Midlands Setting Professional Modifier None Typical Low $3,890.45 Median $4,786.30 Typical High $4,786.30 | Professional | None | $3,890.45 | $4,786.30 | $4,786.30 |
Midlands Setting Facility Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Facility | None | $3,715.35 | $3,715.35 | $3,715.35 |
Midlands Setting Professional Modifier None Typical Low $3,630.78 Median $5,623.41 Typical High $5,623.41 | Professional | None | $3,630.78 | $5,623.41 | $5,623.41 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $5,128.61 Typical High $10,000.00 | Facility | None | $1,949.84 | $5,128.61 | $10,000.00 |
United Setting Professional Modifier None Typical Low $1,584.89 Median $1,698.24 Typical High $2,951.21 | Professional | None | $1,584.89 | $1,698.24 | $2,951.21 |
Wellmark Setting Professional Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Professional | None | $3,311.31 | $3,311.31 | $3,311.31 |
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 $707.95 Median $1,318.26 Typical High $1,348.96 | Professional | 52 · Reduced service | $707.95 | $1,318.26 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $524.81 Typical High $537.03 | Professional | 53 · Discontinued | $281.84 | $524.81 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $389.05 Typical High $398.11 | Professional | 55 · Aftercare only | $213.80 | $389.05 | $398.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $263.03 Typical High $269.15 | Professional | 56 · Pre-op care only | $141.25 | $263.03 | $269.15 |
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· 8th of 51
$3,311
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.