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 $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,174.90 Typical High $1,584.89 | Professional | None | $1,071.52 | $1,174.90 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $2,041.74 Typical High $2,041.74 | Facility | None | $1,380.38 | $2,041.74 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $1,995.26 Median $2,290.87 Typical High $3,890.45 | Professional | None | $1,995.26 | $2,290.87 | $3,890.45 |
Medica Setting Facility Modifier None Typical Low $1,174.90 Median $2,041.74 Typical High $9,332.54 | Facility | None | $1,174.90 | $2,041.74 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $691.83 Median $912.01 Typical High $1,412.54 | Professional | None | $691.83 | $912.01 | $1,412.54 |
Midlands Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $3,890.45 | Professional | None | $1,995.26 | $1,995.26 | $3,890.45 |
Midlands Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
Midlands Setting Professional Modifier None Typical Low $2,511.89 Median $3,890.45 Typical High $5,011.87 | Professional | None | $2,511.89 | $3,890.45 | $5,011.87 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $2,041.74 Typical High $2,041.74 | Facility | None | $1,000.00 | $2,041.74 | $2,041.74 |
United Setting Professional Modifier None Typical Low $660.69 Median $912.01 Typical High $1,348.96 | Professional | None | $660.69 | $912.01 | $1,348.96 |
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 $537.03 Median $588.84 Typical High $776.25 | Professional | 52 · Reduced service | $537.03 | $588.84 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $239.88 Typical High $316.23 | Professional | 53 · Discontinued | $213.80 | $239.88 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $177.83 Typical High $234.42 | Professional | 55 · Aftercare only | $162.18 | $177.83 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $117.49 Typical High $158.49 | Professional | 56 · Pre-op care only | $107.15 | $117.49 | $158.49 |
Where Nebraska sits
The same service costs 2.7 times more in Hawaii than in Florida. 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
$1,175
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.