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 $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,202.26 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $1,202.26 Typical High $1,230.27 | Professional | None | $645.65 | $1,202.26 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,096.48 | $1,737.80 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $2,041.74 Typical High $2,454.71 | Professional | None | $1,584.89 | $2,041.74 | $2,454.71 |
Hally Health Setting Professional Modifier None Typical Low $1,479.11 Median $1,698.24 Typical High $1,905.46 | Professional | None | $1,479.11 | $1,698.24 | $1,905.46 |
Medica Setting Facility Modifier None Typical Low $1,047.13 Median $1,698.24 Typical High $7,244.36 | Facility | None | $1,047.13 | $1,698.24 | $7,244.36 |
Medica Setting Professional Modifier None Typical Low $758.58 Median $1,318.26 Typical High $3,981.07 | Professional | None | $758.58 | $1,318.26 | $3,981.07 |
Midlands Setting Professional Modifier None Typical Low $1,778.28 Median $2,041.74 Typical High $2,041.74 | Professional | None | $1,778.28 | $2,041.74 | $2,041.74 |
Midlands Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Midlands Setting Professional Modifier None Typical Low $1,584.89 Median $2,570.40 Typical High $2,570.40 | Professional | None | $1,584.89 | $2,570.40 | $2,570.40 |
United Setting Facility Modifier None Typical Low $776.25 Median $2,238.72 Typical High $4,365.16 | Facility | None | $776.25 | $2,238.72 | $4,365.16 |
United Setting Professional Modifier None Typical Low $724.44 Median $776.25 Typical High $1,348.96 | Professional | None | $724.44 | $776.25 | $1,348.96 |
Wellmark Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,548.82 | $1,548.82 | $1,548.82 |
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 $331.13 Median $602.56 Typical High $616.60 | Professional | 52 · Reduced service | $331.13 | $602.56 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $239.88 Typical High $245.47 | Professional | 53 · Discontinued | $131.83 | $239.88 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $177.83 Typical High $186.21 | Professional | 55 · Aftercare only | $97.72 | $177.83 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $120.23 Typical High $123.03 | Professional | 56 · Pre-op care only | $66.07 | $120.23 | $123.03 |
Where Iowa sits
The same service costs 2.2 times more in Hawaii than in Florida. 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
$1,549
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.