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 $3,019.95 Median $3,019.95 Typical High $3,019.95 | Facility | None | $3,019.95 | $3,019.95 | $3,019.95 |
Aetna Setting Professional Modifier None Typical Low $1,698.24 Median $3,019.95 Typical High $3,311.31 | Professional | None | $1,698.24 | $3,019.95 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $2,511.89 Median $4,365.16 Typical High $4,365.16 | Facility | None | $2,511.89 | $4,365.16 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $3,981.07 Median $5,248.07 Typical High $5,754.40 | Professional | None | $3,981.07 | $5,248.07 | $5,754.40 |
Hally Health Setting Professional Modifier None Typical Low $3,801.89 Median $3,890.45 Typical High $5,248.07 | Professional | None | $3,801.89 | $3,890.45 | $5,248.07 |
Medica Setting Facility Modifier None Typical Low $2,691.53 Median $4,265.80 Typical High $18,197.01 | Facility | None | $2,691.53 | $4,265.80 | $18,197.01 |
Medica Setting Professional Modifier None Typical Low $1,949.84 Median $3,311.31 Typical High $10,232.93 | Professional | None | $1,949.84 | $3,311.31 | $10,232.93 |
Midlands Setting Professional Modifier None Typical Low $4,570.88 Median $5,248.07 Typical High $5,248.07 | Professional | None | $4,570.88 | $5,248.07 | $5,248.07 |
Midlands Setting Facility Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $4,365.16 | Facility | None | $4,365.16 | $4,365.16 | $4,365.16 |
Midlands Setting Professional Modifier None Typical Low $3,981.07 Median $6,606.93 Typical High $6,606.93 | Professional | None | $3,981.07 | $6,606.93 | $6,606.93 |
United Setting Facility Modifier None Typical Low $5,754.40 Median $5,754.40 Typical High $10,964.78 | Facility | None | $5,754.40 | $5,754.40 | $10,964.78 |
United Setting Professional Modifier None Typical Low $1,819.70 Median $1,949.84 Typical High $3,467.37 | Professional | None | $1,819.70 | $1,949.84 | $3,467.37 |
Wellmark Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Professional | None | $3,890.45 | $3,890.45 | $3,890.45 |
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 $257.04 Median $457.09 Typical High $501.19 | Professional | 55 · Aftercare only | $257.04 | $457.09 | $501.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $302.00 Typical High $331.13 | Professional | 56 · Pre-op care only | $169.82 | $302.00 | $331.13 |
Where Iowa sits
The same service costs 2.2 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· 7th of 51
$3,890
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.