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 $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,691.53 | $2,691.53 | $2,691.53 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $2,691.53 Typical High $2,818.38 | Professional | None | $1,513.56 | $2,691.53 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $3,890.45 Typical High $3,890.45 | Facility | None | $2,398.83 | $3,890.45 | $3,890.45 |
Cigna Setting Professional Modifier None Typical Low $3,548.13 Median $5,011.87 Typical High $5,370.32 | Professional | None | $3,548.13 | $5,011.87 | $5,370.32 |
Hally Health Setting Professional Modifier None Typical Low $2,951.21 Median $3,467.37 Typical High $4,073.80 | Professional | None | $2,951.21 | $3,467.37 | $4,073.80 |
Medica Setting Facility Modifier None Typical Low $2,398.83 Median $3,801.89 Typical High $16,982.44 | Facility | None | $2,398.83 | $3,801.89 | $16,982.44 |
Medica Setting Professional Modifier None Typical Low $1,737.80 Median $3,019.95 Typical High $9,772.37 | Professional | None | $1,737.80 | $3,019.95 | $9,772.37 |
Midlands Setting Professional Modifier None Typical Low $4,073.80 Median $5,011.87 Typical High $5,011.87 | Professional | None | $4,073.80 | $5,011.87 | $5,011.87 |
Midlands Setting Facility Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Facility | None | $3,890.45 | $3,890.45 | $3,890.45 |
Midlands Setting Professional Modifier None Typical Low $3,890.45 Median $5,754.40 Typical High $5,754.40 | Professional | None | $3,890.45 | $5,754.40 | $5,754.40 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $5,495.41 Typical High $10,715.19 | Facility | None | $1,698.24 | $5,495.41 | $10,715.19 |
United Setting Professional Modifier None Typical Low $1,698.24 Median $1,737.80 Typical High $3,090.30 | Professional | None | $1,698.24 | $1,737.80 | $3,090.30 |
Wellmark Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | None | $3,467.37 | $3,467.37 | $3,467.37 |
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 $758.58 Median $1,348.96 Typical High $1,412.54 | Professional | 52 · Reduced service | $758.58 | $1,348.96 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $537.03 Typical High $562.34 | Professional | 53 · Discontinued | $302.00 | $537.03 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $407.38 Typical High $426.58 | Professional | 55 · Aftercare only | $229.09 | $407.38 | $426.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $269.15 Typical High $281.84 | Professional | 56 · Pre-op care only | $151.36 | $269.15 | $281.84 |
Where Iowa sits
The same service costs 2.2 times more in Arkansas 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· 6th of 51
$3,467
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.