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 $5,495.41 Median $5,495.41 Typical High $5,495.41 | Facility | None | $5,495.41 | $5,495.41 | $5,495.41 |
Aetna Setting Professional Modifier None Typical Low $3,715.35 Median $5,495.41 Typical High $7,585.78 | Professional | None | $3,715.35 | $5,495.41 | $7,585.78 |
Cigna Setting Facility Modifier None Typical Low $4,677.35 Median $7,943.28 Typical High $7,943.28 | Facility | None | $4,677.35 | $7,943.28 | $7,943.28 |
Cigna Setting Professional Modifier None Typical Low $7,244.36 Median $10,471.29 Typical High $10,471.29 | Professional | None | $7,244.36 | $10,471.29 | $10,471.29 |
Hally Health Setting Professional Modifier None Typical Low $6,760.83 Median $7,244.36 Typical High $8,912.51 | Professional | None | $6,760.83 | $7,244.36 | $8,912.51 |
Medica Setting Facility Modifier None Typical Low $4,786.30 Median $7,762.47 Typical High $35,481.34 | Facility | None | $4,786.30 | $7,762.47 | $35,481.34 |
Medica Setting Professional Modifier None Typical Low $3,548.13 Median $6,165.95 Typical High $20,417.38 | Professional | None | $3,548.13 | $6,165.95 | $20,417.38 |
Midlands Setting Professional Modifier None Typical Low $8,317.64 Median $10,471.29 Typical High $10,471.29 | Professional | None | $8,317.64 | $10,471.29 | $10,471.29 |
Midlands Setting Facility Modifier None Typical Low $7,943.28 Median $7,943.28 Typical High $7,943.28 | Facility | None | $7,943.28 | $7,943.28 | $7,943.28 |
Midlands Setting Professional Modifier None Typical Low $8,128.31 Median $11,748.98 Typical High $11,748.98 | Professional | None | $8,128.31 | $11,748.98 | $11,748.98 |
United Setting Facility Modifier None Typical Low $3,548.13 Median $11,481.54 Typical High $21,877.62 | Facility | None | $3,548.13 | $11,481.54 | $21,877.62 |
United Setting Professional Modifier None Typical Low $3,467.37 Median $3,548.13 Typical High $6,165.95 | Professional | None | $3,467.37 | $3,548.13 | $6,165.95 |
Wellmark Setting Professional Modifier None Typical Low $7,079.46 Median $7,079.46 Typical High $7,079.46 | Professional | None | $7,079.46 | $7,079.46 | $7,079.46 |
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 $1,862.09 Median $2,754.23 Typical High $3,715.35 | Professional | 52 · Reduced service | $1,862.09 | $2,754.23 | $3,715.35 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $741.31 Median $1,096.48 Typical High $1,513.56 | Professional | 53 · Discontinued | $741.31 | $1,096.48 | $1,513.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $562.34 Median $831.76 Typical High $1,122.02 | Professional | 55 · Aftercare only | $562.34 | $831.76 | $1,122.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $371.54 Median $549.54 Typical High $758.58 | Professional | 56 · Pre-op care only | $371.54 | $549.54 | $758.58 |
Where Iowa sits
The same service costs 2.3 times more in Arkansas than in Vermont. 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· 8th of 51
$7,079
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.