How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $208.93 | Professional | None | $190.55 | $190.55 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $331.13 Typical High $501.19 | Professional | None | $234.42 | $331.13 | $501.19 |
Medica Setting Facility Modifier None Typical Low $316.23 Median $363.08 Typical High $1,047.13 | Facility | None | $316.23 | $363.08 | $1,047.13 |
Medica Setting Professional Modifier None Typical Low $323.59 Median $489.78 Typical High $1,288.25 | Professional | None | $323.59 | $489.78 | $1,288.25 |
Midlands Setting Professional Modifier None Typical Low $234.42 Median $331.13 Typical High $512.86 | Professional | None | $234.42 | $331.13 | $512.86 |
Midlands Setting Professional Modifier None Typical Low $234.42 Median $457.09 Typical High $512.86 | Professional | None | $234.42 | $457.09 | $512.86 |
United Setting Professional Modifier None Typical Low $323.59 Median $446.68 Typical High $524.81 | Professional | None | $323.59 | $446.68 | $524.81 |
1 more rate 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 $95.50 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $95.50 | $95.50 | $95.50 |
Where Nebraska sits
The same service costs 3.6 times more in Alaska than in New York. 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.
Nebraska· 2nd of 51
$389
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.