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 $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $380.19 Typical High $512.86 | Professional | None | $338.84 | $380.19 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $660.69 Typical High $660.69 | Facility | None | $416.87 | $660.69 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $741.31 Typical High $1,258.93 | Professional | None | $645.65 | $741.31 | $1,258.93 |
Medica Setting Facility Modifier None Typical Low $380.19 Median $645.65 Typical High $2,951.21 | Facility | None | $380.19 | $645.65 | $2,951.21 |
Medica Setting Professional Modifier None Typical Low $213.80 Median $295.12 Typical High $467.74 | Professional | None | $213.80 | $295.12 | $467.74 |
Midlands Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $1,258.93 | Professional | None | $645.65 | $645.65 | $1,258.93 |
Midlands Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Midlands Setting Professional Modifier None Typical Low $812.83 Median $1,258.93 Typical High $1,621.81 | Professional | None | $812.83 | $1,258.93 | $1,621.81 |
United Setting Facility Modifier None Typical Low $363.08 Median $645.65 Typical High $645.65 | Facility | None | $363.08 | $645.65 | $645.65 |
United Setting Professional Modifier None Typical Low $213.80 Median $295.12 Typical High $416.87 | Professional | None | $213.80 | $295.12 | $416.87 |
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 $165.96 Median $190.55 Typical High $257.04 | Professional | 52 · Reduced service | $165.96 | $190.55 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $77.62 Typical High $102.33 | Professional | 53 · Discontinued | $67.61 | $77.62 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $57.54 Typical High $75.86 | Professional | 55 · Aftercare only | $50.12 | $57.54 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $38.02 Typical High $51.29 | Professional | 56 · Pre-op care only | $33.88 | $38.02 | $51.29 |
Where Nebraska sits
The same service costs 2.9 times more in Hawaii than in Washington, DC. 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· 25th of 51
$380
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.