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 $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $52.48 | Professional | None | $48.98 | $48.98 | $52.48 |
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 $89.13 Median $190.55 Typical High $213.80 | Professional | None | $89.13 | $190.55 | $213.80 |
Hally Health Setting Professional Modifier None Typical Low $52.48 Median $81.28 Typical High $269.15 | Professional | None | $52.48 | $81.28 | $269.15 |
Medica Setting Facility Modifier None Typical Low $63.10 Median $208.93 Typical High $1,148.15 | Facility | None | $63.10 | $208.93 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $52.48 Median $56.23 Typical High $1,288.25 | Professional | None | $52.48 | $56.23 | $1,288.25 |
Midlands Setting Professional Modifier None Typical Low $151.36 Median $190.55 Typical High $213.80 | Professional | None | $151.36 | $190.55 | $213.80 |
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 $114.82 Median $114.82 Typical High $213.80 | Professional | None | $114.82 | $114.82 | $213.80 |
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 $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
Wellmark Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
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 $24.55 Median $24.55 Typical High $26.30 | Professional | 52 · Reduced service | $24.55 | $24.55 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $9.77 Typical High $10.72 | Professional | 53 · Discontinued | $9.77 | $9.77 | $10.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $7.41 Typical High $7.94 | Professional | 55 · Aftercare only | $7.41 | $7.41 | $7.94 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.90 Median $4.90 Typical High $5.25 | Professional | 56 · Pre-op care only | $4.90 | $4.90 | $5.25 |
Where Iowa sits
The same service costs 18.6 times more in Wyoming than in Kentucky. 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· 44th of 51
$89.13
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.