How much rates vary
Facilitymedian $107 · 10th to 90th $107 to $562Professionalmedian $120 · 10th to 90th $89 to $525
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 $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $562.34 | Professional | None | $100.00 | $100.00 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $239.88 Typical High $269.15 | Facility | None | $190.55 | $239.88 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $190.55 Typical High $407.38 | Professional | None | $42.66 | $190.55 | $407.38 |
Hally Health Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $501.19 | Professional | None | $107.15 | $107.15 | $501.19 |
Medica Setting Facility Modifier None Typical Low $44.67 Median $338.84 Typical High $602.56 | Facility | None | $44.67 | $338.84 | $602.56 |
Medica Setting Professional Modifier None Typical Low $44.67 Median $89.13 Typical High $1,445.44 | Professional | None | $44.67 | $89.13 | $1,445.44 |
Midlands Setting Professional Modifier None Typical Low $151.36 Median $190.55 Typical High $457.09 | Professional | None | $151.36 | $190.55 | $457.09 |
Midlands Setting Facility Modifier None Typical Low $190.55 Median $239.88 Typical High $302.00 | Facility | None | $190.55 | $239.88 | $302.00 |
Midlands Setting Professional Modifier None Typical Low $204.17 Median $295.12 Typical High $457.09 | Professional | None | $204.17 | $295.12 | $457.09 |
United Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $134.90 | Professional | None | $125.89 | $125.89 | $134.90 |
Wellmark Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Wellmark Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
8 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 Facility Modifier 52 · Reduced service Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | 52 · Reduced service | $281.84 | $281.84 | $281.84 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | 53 · Discontinued | $112.20 | $112.20 | $112.20 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | 55 · Aftercare only | $85.11 | $85.11 | $85.11 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | 56 · Pre-op care only | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $50.12 Typical High $281.84 | Professional | 52 · Reduced service | $50.12 | $50.12 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $112.20 | Professional | 53 · Discontinued | $19.95 | $19.95 | $112.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $14.79 Typical High $85.11 | Professional | 55 · Aftercare only | $14.79 | $14.79 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $10.00 Typical High $56.23 | Professional | 56 · Pre-op care only | $10.00 | $10.00 | $56.23 |
Where Iowa sits
The same service costs 6.0 times more in Wyoming than in Montana. 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· 48th of 51
$107
WY $479MT $79.43
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.