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 $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $128.82 Typical High $169.82 | Professional | None | $109.65 | $128.82 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $218.78 Typical High $218.78 | Facility | None | $123.03 | $218.78 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $218.78 Typical High $416.87 | Professional | None | $213.80 | $218.78 | $416.87 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $213.80 Typical High $933.25 | Facility | None | $125.89 | $213.80 | $933.25 |
Medica Setting Professional Modifier None Typical Low $67.61 Median $97.72 Typical High $154.88 | Professional | None | $67.61 | $97.72 | $154.88 |
Midlands Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $416.87 | Professional | None | $213.80 | $213.80 | $416.87 |
Midlands Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Midlands Setting Professional Modifier None Typical Low $269.15 Median $416.87 Typical High $537.03 | Professional | None | $269.15 | $416.87 | $537.03 |
United Setting Facility Modifier None Typical Low $87.10 Median $204.17 Typical High $204.17 | Facility | None | $87.10 | $204.17 | $204.17 |
United Setting Professional Modifier None Typical Low $70.79 Median $97.72 Typical High $131.83 | Professional | None | $70.79 | $97.72 | $131.83 |
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 $63.10 Typical High $85.11 | Professional | 52 · Reduced service | $54.95 | $63.10 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $25.70 Typical High $33.88 | Professional | 53 · Discontinued | $21.88 | $25.70 | $33.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $19.05 Typical High $25.12 | Professional | 55 · Aftercare only | $16.22 | $19.05 | $25.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $12.88 Typical High $16.98 | Professional | 56 · Pre-op care only | $10.96 | $12.88 | $16.98 |
Where Nebraska sits
The same service costs 2.5 times more in Hawaii than in Arizona. 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· 21st of 51
$129
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.