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 $1,445.44 Median $1,621.81 Typical High $2,137.96 | Professional | None | $1,445.44 | $1,621.81 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $1,621.81 Median $2,754.23 Typical High $2,754.23 | Facility | None | $1,621.81 | $2,754.23 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $2,691.53 Median $2,951.21 Typical High $5,248.07 | Professional | None | $2,691.53 | $2,951.21 | $5,248.07 |
Medica Setting Facility Modifier None Typical Low $1,584.89 Median $2,691.53 Typical High $12,589.25 | Facility | None | $1,584.89 | $2,691.53 | $12,589.25 |
Medica Setting Professional Modifier None Typical Low $933.25 Median $1,230.27 Typical High $1,949.84 | Professional | None | $933.25 | $1,230.27 | $1,949.84 |
Midlands Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $5,248.07 | Professional | None | $2,691.53 | $2,691.53 | $5,248.07 |
Midlands Setting Facility Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Facility | None | $2,754.23 | $2,754.23 | $2,754.23 |
Midlands Setting Professional Modifier None Typical Low $3,467.37 Median $5,248.07 Typical High $6,760.83 | Professional | None | $3,467.37 | $5,248.07 | $6,760.83 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $2,818.38 Typical High $2,818.38 | Facility | None | $1,479.11 | $2,818.38 | $2,818.38 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,230.27 Typical High $1,819.70 | Professional | None | $891.25 | $1,230.27 | $1,819.70 |
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 $724.44 Median $812.83 Typical High $1,071.52 | Professional | 52 · Reduced service | $724.44 | $812.83 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $323.59 Typical High $426.58 | Professional | 53 · Discontinued | $295.12 | $323.59 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $239.88 Typical High $316.23 | Professional | 55 · Aftercare only | $218.78 | $239.88 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $162.18 Typical High $213.80 | Professional | 56 · Pre-op care only | $144.54 | $162.18 | $213.80 |
Where Nebraska sits
The same service costs 2.7 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· 20th 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.