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 $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $1,513.56 Typical High $1,621.81 | Professional | None | $851.14 | $1,513.56 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $2,187.76 Typical High $2,187.76 | Facility | None | $1,258.93 | $2,187.76 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $1,995.26 Median $2,818.38 Typical High $2,884.03 | Professional | None | $1,995.26 | $2,818.38 | $2,884.03 |
Hally Health Setting Professional Modifier None Typical Low $1,862.09 Median $1,995.26 Typical High $2,398.83 | Professional | None | $1,862.09 | $1,995.26 | $2,398.83 |
Medica Setting Facility Modifier None Typical Low $1,318.26 Median $2,137.96 Typical High $9,332.54 | Facility | None | $1,318.26 | $2,137.96 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $977.24 Median $1,659.59 Typical High $5,623.41 | Professional | None | $977.24 | $1,659.59 | $5,623.41 |
Midlands Setting Professional Modifier None Typical Low $2,290.87 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,290.87 | $2,884.03 | $2,884.03 |
Midlands Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Facility | None | $2,187.76 | $2,187.76 | $2,187.76 |
Midlands Setting Professional Modifier None Typical Low $2,238.72 Median $3,235.94 Typical High $3,235.94 | Professional | None | $2,238.72 | $3,235.94 | $3,235.94 |
United Setting Facility Modifier None Typical Low $977.24 Median $3,162.28 Typical High $6,025.60 | Facility | None | $977.24 | $3,162.28 | $6,025.60 |
United Setting Professional Modifier None Typical Low $954.99 Median $977.24 Typical High $1,737.80 | Professional | None | $954.99 | $977.24 | $1,737.80 |
Wellmark Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,949.84 | $1,949.84 | $1,949.84 |
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 $426.58 Median $758.58 Typical High $812.83 | Professional | 52 · Reduced service | $426.58 | $758.58 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $302.00 Typical High $323.59 | Professional | 53 · Discontinued | $169.82 | $302.00 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $229.09 Typical High $245.47 | Professional | 55 · Aftercare only | $125.89 | $229.09 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $151.36 Typical High $162.18 | Professional | 56 · Pre-op care only | $85.11 | $151.36 | $162.18 |
Where Iowa sits
The same service costs 2.5 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· 5th of 51
$1,950
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.