How much rates vary
Facilitymedian $138 · 10th to 90th $138 to $282Professionalmedian $138 · 10th to 90th $126 to $282
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 $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $138.04 Typical High $281.84 | Professional | None | $128.82 | $138.04 | $281.84 |
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 $138.04 Median $190.55 Typical High $190.55 | Professional | None | $138.04 | $190.55 | $190.55 |
Hally Health Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $288.40 | Professional | None | $138.04 | $138.04 | $288.40 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $229.09 Typical High $616.60 | Facility | None | $162.18 | $229.09 | $616.60 |
Medica Setting Professional Modifier None Typical Low $134.90 Median $151.36 Typical High $1,445.44 | Professional | None | $134.90 | $151.36 | $1,445.44 |
Midlands Setting Professional Modifier None Typical Low $151.36 Median $190.55 Typical High $190.55 | Professional | None | $151.36 | $190.55 | $190.55 |
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 $165.96 Median $288.40 Typical High $354.81 | Professional | None | $165.96 | $288.40 | $354.81 |
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 $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Wellmark Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None | $138.04 | $138.04 | $138.04 |
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 $141.25 Median $141.25 Typical High $141.25 | Facility | 52 · Reduced service | $141.25 | $141.25 | $141.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | 53 · Discontinued | $56.23 | $56.23 | $56.23 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | 55 · Aftercare only | $42.66 | $42.66 | $42.66 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | 56 · Pre-op care only | $28.18 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $64.57 Typical High $141.25 | Professional | 52 · Reduced service | $64.57 | $64.57 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $56.23 | Professional | 53 · Discontinued | $25.70 | $25.70 | $56.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $19.50 Typical High $42.66 | Professional | 55 · Aftercare only | $19.50 | $19.50 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $12.88 Typical High $28.18 | Professional | 56 · Pre-op care only | $12.88 | $12.88 | $28.18 |
Where Iowa sits
The same service costs 2.2 times more in Alaska than in North Carolina. 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· 22nd of 51
$138
AK $257NC $117
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.