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 $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $1,862.09 Typical High $1,862.09 | Professional | None | $912.01 | $1,862.09 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $2,630.27 Typical High $2,630.27 | Facility | None | $1,122.02 | $2,630.27 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $2,454.71 Median $2,691.53 Typical High $3,388.44 | Professional | None | $2,454.71 | $2,691.53 | $3,388.44 |
Hally Health Setting Professional Modifier None Typical Low $2,137.96 Median $2,344.23 Typical High $2,754.23 | Professional | None | $2,137.96 | $2,344.23 | $2,754.23 |
Medica Setting Facility Modifier None Typical Low $1,621.81 Median $2,630.27 Typical High $9,772.37 | Facility | None | $1,621.81 | $2,630.27 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $1,174.90 Median $2,041.74 Typical High $5,248.07 | Professional | None | $1,174.90 | $2,041.74 | $5,248.07 |
Midlands Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $3,162.28 | Professional | None | $2,691.53 | $2,691.53 | $3,162.28 |
Midlands Setting Facility Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Facility | None | $2,630.27 | $2,630.27 | $2,630.27 |
Midlands Setting Professional Modifier None Typical Low $2,089.30 Median $3,981.07 Typical High $3,981.07 | Professional | None | $2,089.30 | $3,981.07 | $3,981.07 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $2,951.21 Typical High $5,754.40 | Facility | None | $1,202.26 | $2,951.21 | $5,754.40 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,174.90 Typical High $2,089.30 | Professional | None | $1,071.52 | $1,174.90 | $2,089.30 |
Wellmark Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Professional | None | $2,344.23 | $2,344.23 | $2,344.23 |
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 $457.09 Median $933.25 Typical High $933.25 | Professional | 52 · Reduced service | $457.09 | $933.25 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $371.54 Typical High $371.54 | Professional | 53 · Discontinued | $181.97 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $275.42 Typical High $275.42 | Professional | 55 · Aftercare only | $138.04 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $186.21 Typical High $186.21 | Professional | 56 · Pre-op care only | $91.20 | $186.21 | $186.21 |
Where Iowa sits
The same service costs 3.1 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· 5th of 51
$2,344
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.