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 $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $691.83 Typical High $912.01 | Professional | None | $616.60 | $691.83 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,202.26 Typical High $1,202.26 | Facility | None | $741.31 | $1,202.26 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,318.26 Typical High $2,238.72 | Professional | None | $1,174.90 | $1,318.26 | $2,238.72 |
Medica Setting Facility Modifier None Typical Low $676.08 Median $1,174.90 Typical High $5,495.41 | Facility | None | $676.08 | $1,174.90 | $5,495.41 |
Medica Setting Professional Modifier None Typical Low $398.11 Median $524.81 Typical High $831.76 | Professional | None | $398.11 | $524.81 | $831.76 |
Midlands Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $2,238.72 | Professional | None | $1,174.90 | $1,174.90 | $2,238.72 |
Midlands Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,202.26 | $1,202.26 | $1,202.26 |
Midlands Setting Professional Modifier None Typical Low $1,479.11 Median $2,238.72 Typical High $2,884.03 | Professional | None | $1,479.11 | $2,238.72 | $2,884.03 |
Oscar Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,513.56 Typical High $2,290.87 | Professional | None | $1,148.15 | $1,513.56 | $2,290.87 |
United Setting Facility Modifier None Typical Low $645.65 Median $1,202.26 Typical High $1,202.26 | Facility | None | $645.65 | $1,202.26 | $1,202.26 |
United Setting Professional Modifier None Typical Low $380.19 Median $524.81 Typical High $776.25 | Professional | None | $380.19 | $524.81 | $776.25 |
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 $309.03 Median $346.74 Typical High $457.09 | Professional | 52 · Reduced service | $309.03 | $346.74 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $138.04 Typical High $181.97 | Professional | 53 · Discontinued | $123.03 | $138.04 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $102.33 Typical High $138.04 | Professional | 55 · Aftercare only | $93.33 | $102.33 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $69.18 Typical High $91.20 | Professional | 56 · Pre-op care only | $61.66 | $69.18 | $91.20 |
Where Nebraska sits
The same service costs 3.0 times more in Hawaii than in Vermont. 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
$692
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.