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 $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $275.42 Typical High $575.44 | Professional | None | $251.19 | $275.42 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $467.74 Typical High $467.74 | Facility | None | $316.23 | $467.74 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $524.81 Typical High $891.25 | Professional | None | $457.09 | $524.81 | $891.25 |
Medica Setting Facility Modifier None Typical Low $269.15 Median $467.74 Typical High $2,187.76 | Facility | None | $269.15 | $467.74 | $2,187.76 |
Medica Setting Professional Modifier None Typical Low $158.49 Median $208.93 Typical High $331.13 | Professional | None | $158.49 | $208.93 | $331.13 |
Midlands Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $891.25 | Professional | None | $457.09 | $457.09 | $891.25 |
Midlands Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Midlands Setting Professional Modifier None Typical Low $588.84 Median $891.25 Typical High $1,148.15 | Professional | None | $588.84 | $891.25 | $1,148.15 |
United Setting Facility Modifier None Typical Low $245.47 Median $478.63 Typical High $478.63 | Facility | None | $245.47 | $478.63 | $478.63 |
United Setting Professional Modifier None Typical Low $151.36 Median $208.93 Typical High $316.23 | Professional | None | $151.36 | $208.93 | $316.23 |
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 $125.89 Median $138.04 Typical High $181.97 | Professional | 52 · Reduced service | $125.89 | $138.04 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $54.95 Typical High $72.44 | Professional | 53 · Discontinued | $50.12 | $54.95 | $72.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $40.74 Typical High $53.70 | Professional | 55 · Aftercare only | $38.02 | $40.74 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $27.54 Typical High $36.31 | Professional | 56 · Pre-op care only | $25.12 | $27.54 | $36.31 |
Where Nebraska sits
The same service costs 2.6 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· 24th of 51
$275
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.