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 $1,905.46 Median $1,905.46 Typical High $1,905.46 | Facility | None | $1,905.46 | $1,905.46 | $1,905.46 |
Aetna Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $2,089.30 | Professional | None | $1,905.46 | $1,905.46 | $2,089.30 |
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 $177.83 Median $190.55 Typical High $489.78 | Professional | None | $177.83 | $190.55 | $489.78 |
Hally Health Setting Professional Modifier None Typical Low $239.88 Median $1,778.28 Typical High $2,089.30 | Professional | None | $239.88 | $1,778.28 | $2,089.30 |
Medica Setting Facility Modifier None Typical Low $239.88 Median $3,311.31 Typical High $3,715.35 | Facility | None | $239.88 | $3,311.31 | $3,715.35 |
Medica Setting Professional Modifier None Typical Low $1,905.46 Median $2,238.72 Typical High $11,748.98 | Professional | None | $1,905.46 | $2,238.72 | $11,748.98 |
Midlands Setting Professional Modifier None Typical Low $151.36 Median $190.55 Typical High $489.78 | Professional | None | $151.36 | $190.55 | $489.78 |
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 $269.15 Median $269.15 Typical High $489.78 | Professional | None | $269.15 | $269.15 | $489.78 |
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 $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
Wellmark Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | None | $2,089.30 | $2,089.30 | $2,089.30 |
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 $954.99 Median $954.99 Typical High $1,023.29 | Professional | 52 · Reduced service | $954.99 | $954.99 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $389.05 Typical High $416.87 | Professional | 53 · Discontinued | $389.05 | $389.05 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $288.40 Typical High $309.03 | Professional | 55 · Aftercare only | $288.40 | $288.40 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $190.55 Median $190.55 Typical High $208.93 | Professional | 56 · Pre-op care only | $190.55 | $190.55 | $208.93 |
Where Iowa sits
The same service costs 24.0 times more in Wyoming 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· 14th of 51
$1,905
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.