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 $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $2,398.83 Typical High $2,398.83 | Professional | None | $1,202.26 | $2,398.83 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $3,467.37 Typical High $3,467.37 | Facility | None | $1,778.28 | $3,467.37 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $3,162.28 Median $3,630.78 Typical High $4,677.35 | Professional | None | $3,162.28 | $3,630.78 | $4,677.35 |
Hally Health Setting Professional Modifier None Typical Low $2,454.71 Median $3,235.94 Typical High $3,548.13 | Professional | None | $2,454.71 | $3,235.94 | $3,548.13 |
Medica Setting Facility Modifier None Typical Low $2,089.30 Median $3,388.44 Typical High $13,182.57 | Facility | None | $2,089.30 | $3,388.44 | $13,182.57 |
Medica Setting Professional Modifier None Typical Low $1,513.56 Median $2,630.27 Typical High $7,079.46 | Professional | None | $1,513.56 | $2,630.27 | $7,079.46 |
Midlands Setting Professional Modifier None Typical Low $3,548.13 Median $3,630.78 Typical High $4,073.80 | Professional | None | $3,548.13 | $3,630.78 | $4,073.80 |
Midlands Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
Midlands Setting Professional Modifier None Typical Low $2,818.38 Median $5,128.61 Typical High $5,128.61 | Professional | None | $2,818.38 | $5,128.61 | $5,128.61 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $3,981.07 Typical High $7,762.47 | Facility | None | $1,621.81 | $3,981.07 | $7,762.47 |
United Setting Professional Modifier None Typical Low $1,412.54 Median $1,513.56 Typical High $2,691.53 | Professional | None | $1,412.54 | $1,513.56 | $2,691.53 |
Wellmark Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Professional | None | $3,090.30 | $3,090.30 | $3,090.30 |
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 $602.56 Median $1,202.26 Typical High $1,202.26 | Professional | 52 · Reduced service | $602.56 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $478.63 Typical High $478.63 | Professional | 53 · Discontinued | $239.88 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $354.81 Typical High $354.81 | Professional | 55 · Aftercare only | $181.97 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $239.88 Typical High $239.88 | Professional | 56 · Pre-op care only | $120.23 | $239.88 | $239.88 |
Where Iowa sits
The same service costs 2.8 times more in Hawaii than in Washington, DC. 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
$3,090
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.