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 $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $177.83 Typical High $234.42 | Professional | None | $154.88 | $177.83 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $309.03 Typical High $309.03 | Facility | None | $190.55 | $309.03 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $346.74 Typical High $588.84 | Professional | None | $302.00 | $346.74 | $588.84 |
Medica Setting Facility Modifier None Typical Low $173.78 Median $302.00 Typical High $1,348.96 | Facility | None | $173.78 | $302.00 | $1,348.96 |
Medica Setting Professional Modifier None Typical Low $100.00 Median $138.04 Typical High $213.80 | Professional | None | $100.00 | $138.04 | $213.80 |
Midlands Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $588.84 | Professional | None | $302.00 | $302.00 | $588.84 |
Midlands Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Midlands Setting Professional Modifier None Typical Low $380.19 Median $588.84 Typical High $758.58 | Professional | None | $380.19 | $588.84 | $758.58 |
United Setting Facility Modifier None Typical Low $147.91 Median $302.00 Typical High $302.00 | Facility | None | $147.91 | $302.00 | $302.00 |
United Setting Professional Modifier None Typical Low $100.00 Median $138.04 Typical High $194.98 | Professional | None | $100.00 | $138.04 | $194.98 |
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 $77.62 Median $89.13 Typical High $117.49 | Professional | 52 · Reduced service | $77.62 | $89.13 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $35.48 Typical High $46.77 | Professional | 53 · Discontinued | $31.62 | $35.48 | $46.77 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $26.92 Typical High $35.48 | Professional | 55 · Aftercare only | $23.44 | $26.92 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $17.78 Typical High $23.44 | Professional | 56 · Pre-op care only | $15.85 | $17.78 | $23.44 |
Where Nebraska sits
The same service costs 2.3 times more in Hawaii than in New Jersey. 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
$178
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.