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 $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $158.49 | Professional | None | $120.23 | $120.23 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $204.17 Typical High $204.17 | Facility | None | $125.89 | $204.17 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $213.80 Typical High $389.05 | Professional | None | $199.53 | $213.80 | $389.05 |
Medica Setting Facility Modifier None Typical Low $117.49 Median $199.53 Typical High $1,000.00 | Facility | None | $117.49 | $199.53 | $1,000.00 |
Medica Setting Professional Modifier None Typical Low $69.18 Median $91.20 Typical High $144.54 | Professional | None | $69.18 | $91.20 | $144.54 |
Midlands Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $389.05 | Professional | None | $199.53 | $199.53 | $389.05 |
Midlands Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Midlands Setting Professional Modifier None Typical Low $257.04 Median $389.05 Typical High $501.19 | Professional | None | $257.04 | $389.05 | $501.19 |
United Setting Facility Modifier None Typical Low $87.10 Median $213.80 Typical High $213.80 | Facility | None | $87.10 | $213.80 | $213.80 |
United Setting Professional Modifier None Typical Low $66.07 Median $91.20 Typical High $138.04 | Professional | None | $66.07 | $91.20 | $138.04 |
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 $54.95 Median $60.26 Typical High $79.43 | Professional | 52 · Reduced service | $54.95 | $60.26 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $23.99 Typical High $31.62 | Professional | 53 · Discontinued | $21.88 | $23.99 | $31.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $17.78 Typical High $23.44 | Professional | 55 · Aftercare only | $16.60 | $17.78 | $23.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $12.02 Typical High $15.85 | Professional | 56 · Pre-op care only | $10.96 | $12.02 | $15.85 |
Where Nebraska sits
The same service costs 2.4 times more in Hawaii than in Delaware. 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· 29th of 51
$120
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.