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 $3,548.13 Median $3,548.13 Typical High $3,548.13 | Facility | None | $3,548.13 | $3,548.13 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $1,659.59 Median $3,548.13 Typical High $3,548.13 | Professional | None | $1,659.59 | $3,548.13 | $3,548.13 |
Cigna Setting Facility Modifier None Typical Low $2,951.21 Median $5,011.87 Typical High $5,011.87 | Facility | None | $2,951.21 | $5,011.87 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $4,677.35 Median $5,495.41 Typical High $6,165.95 | Professional | None | $4,677.35 | $5,495.41 | $6,165.95 |
Hally Health Setting Professional Modifier None Typical Low $3,630.78 Median $4,168.69 Typical High $4,897.79 | Professional | None | $3,630.78 | $4,168.69 | $4,897.79 |
Medica Setting Facility Modifier None Typical Low $3,090.30 Median $5,011.87 Typical High $19,054.61 | Facility | None | $3,090.30 | $5,011.87 | $19,054.61 |
Medica Setting Professional Modifier None Typical Low $2,238.72 Median $3,890.45 Typical High $10,715.19 | Professional | None | $2,238.72 | $3,890.45 | $10,715.19 |
Midlands Setting Professional Modifier None Typical Low $5,248.07 Median $5,495.41 Typical High $6,025.60 | Professional | None | $5,248.07 | $5,495.41 | $6,025.60 |
Midlands Setting Facility Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Facility | None | $5,011.87 | $5,011.87 | $5,011.87 |
Midlands Setting Professional Modifier None Typical Low $4,265.80 Median $7,585.78 Typical High $7,585.78 | Professional | None | $4,265.80 | $7,585.78 | $7,585.78 |
United Setting Facility Modifier None Typical Low $2,951.21 Median $6,025.60 Typical High $11,748.98 | Facility | None | $2,951.21 | $6,025.60 | $11,748.98 |
United Setting Professional Modifier None Typical Low $2,089.30 Median $2,238.72 Typical High $3,981.07 | Professional | None | $2,089.30 | $2,238.72 | $3,981.07 |
Wellmark Setting Professional Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Professional | None | $4,466.84 | $4,466.84 | $4,466.84 |
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 $831.76 Median $1,778.28 Typical High $1,778.28 | Professional | 52 · Reduced service | $831.76 | $1,778.28 | $1,778.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $331.13 Median $707.95 Typical High $707.95 | Professional | 53 · Discontinued | $331.13 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $524.81 Typical High $524.81 | Professional | 55 · Aftercare only | $251.19 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $165.96 Median $354.81 Typical High $354.81 | Professional | 56 · Pre-op care only | $165.96 | $354.81 | $354.81 |
Where Iowa sits
The same service costs 2.5 times more in Montana 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
$4,467
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.