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 $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,621.81 Typical High $2,187.76 | Professional | None | $1,412.54 | $1,621.81 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $2,818.38 Typical High $2,818.38 | Facility | None | $1,548.82 | $2,818.38 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $2,754.23 Median $3,090.30 Typical High $5,370.32 | Professional | None | $2,754.23 | $3,090.30 | $5,370.32 |
Medica Setting Facility Modifier None Typical Low $1,621.81 Median $2,754.23 Typical High $12,302.69 | Facility | None | $1,621.81 | $2,754.23 | $12,302.69 |
Medica Setting Professional Modifier None Typical Low $912.01 Median $1,258.93 Typical High $1,949.84 | Professional | None | $912.01 | $1,258.93 | $1,949.84 |
Midlands Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $5,370.32 | Professional | None | $2,754.23 | $2,754.23 | $5,370.32 |
Midlands Setting Facility Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Facility | None | $2,818.38 | $2,818.38 | $2,818.38 |
Midlands Setting Professional Modifier None Typical Low $3,467.37 Median $5,370.32 Typical High $6,918.31 | Professional | None | $3,467.37 | $5,370.32 | $6,918.31 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $2,691.53 Typical High $2,691.53 | Facility | None | $1,584.89 | $2,691.53 | $2,691.53 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,258.93 Typical High $1,778.28 | Professional | None | $912.01 | $1,258.93 | $1,778.28 |
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 $707.95 Median $812.83 Typical High $1,071.52 | Professional | 52 · Reduced service | $707.95 | $812.83 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $331.13 Typical High $436.52 | Professional | 53 · Discontinued | $281.84 | $331.13 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $245.47 Typical High $323.59 | Professional | 55 · Aftercare only | $213.80 | $245.47 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $162.18 Typical High $218.78 | Professional | 56 · Pre-op care only | $141.25 | $162.18 | $218.78 |
Where Nebraska sits
The same service costs 3.1 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· 24th of 51
$1,622
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.