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 $457.09 Median $457.09 Typical High $1,819.70 | Facility | None | $457.09 | $457.09 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $478.63 | Professional | None | $457.09 | $457.09 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $524.81 Typical High $660.69 | Professional | None | $512.86 | $524.81 | $660.69 |
Hally Health Setting Professional Modifier None Typical Low $151.36 Median $1,174.90 Typical High $1,380.38 | Professional | None | $151.36 | $1,174.90 | $1,380.38 |
Medica Setting Facility Modifier None Typical Low $524.81 Median $575.44 Typical High $831.76 | Facility | None | $524.81 | $575.44 | $831.76 |
Medica Setting Professional Modifier None Typical Low $575.44 Median $588.84 Typical High $691.83 | Professional | None | $575.44 | $588.84 | $691.83 |
Midlands Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None | $588.84 | $588.84 | $588.84 |
Midlands Setting Professional Modifier None Typical Low $575.44 Median $588.84 Typical High $602.56 | Professional | None | $575.44 | $588.84 | $602.56 |
Oscar Health Setting Professional Modifier None Typical Low $645.65 Median $724.44 Typical High $870.96 | Professional | None | $645.65 | $724.44 | $870.96 |
United Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
United Setting Professional Modifier None Typical Low $575.44 Median $602.56 Typical High $691.83 | Professional | None | $575.44 | $602.56 | $691.83 |
Wellmark Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Wellmark Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
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 $229.09 Median $229.09 Typical High $239.88 | Professional | 52 · Reduced service | $229.09 | $229.09 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $91.20 Typical High $95.50 | Professional | 53 · Discontinued | $91.20 | $91.20 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $69.18 Typical High $72.44 | Professional | 55 · Aftercare only | $69.18 | $69.18 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $45.71 Typical High $47.86 | Professional | 56 · Pre-op care only | $45.71 | $45.71 | $47.86 |
Where Iowa sits
The same service costs 1.6 times more in Alaska than in Idaho. 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
$575
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.