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 $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $588.84 Typical High $602.56 | Professional | None | $309.03 | $588.84 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $831.76 Typical High $831.76 | Facility | None | $562.34 | $831.76 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $1,000.00 Typical High $1,148.15 | Professional | None | $776.25 | $1,000.00 | $1,148.15 |
Hally Health Setting Professional Modifier None Typical Low $707.95 Median $794.33 Typical High $954.99 | Professional | None | $707.95 | $794.33 | $954.99 |
Medica Setting Facility Modifier None Typical Low $512.86 Median $831.76 Typical High $3,467.37 | Facility | None | $512.86 | $831.76 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $371.54 Median $645.65 Typical High $1,949.84 | Professional | None | $371.54 | $645.65 | $1,949.84 |
Midlands Setting Professional Modifier None Typical Low $870.96 Median $1,000.00 Typical High $1,000.00 | Professional | None | $870.96 | $1,000.00 | $1,000.00 |
Midlands Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Midlands Setting Professional Modifier None Typical Low $758.58 Median $1,258.93 Typical High $1,258.93 | Professional | None | $758.58 | $1,258.93 | $1,258.93 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $2,089.30 | Facility | None | $1,096.48 | $1,096.48 | $2,089.30 |
United Setting Professional Modifier None Typical Low $354.81 Median $380.19 Typical High $660.69 | Professional | None | $354.81 | $380.19 | $660.69 |
Wellmark Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None | $741.31 | $741.31 | $741.31 |
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 $45.71 Median $87.10 Typical High $89.13 | Professional | 55 · Aftercare only | $45.71 | $87.10 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $58.88 Typical High $60.26 | Professional | 56 · Pre-op care only | $30.90 | $58.88 | $60.26 |
Where Iowa sits
The same service costs 2.6 times more in Hawaii than in New Jersey. 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
$741
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.