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 $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $870.96 | Professional | None | $416.87 | $416.87 | $870.96 |
Ambetter Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $691.83 | Professional | None | $302.00 | $302.00 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,000.00 Typical High $1,000.00 | Facility | None | $630.96 | $1,000.00 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $1,000.00 Typical High $2,290.87 | Professional | None | $741.31 | $1,000.00 | $2,290.87 |
Medica Setting Facility Modifier None Typical Low $489.78 Median $831.76 Typical High $3,162.28 | Facility | None | $489.78 | $831.76 | $3,162.28 |
Medica Setting Professional Modifier None Typical Low $354.81 Median $537.03 Typical High $851.14 | Professional | None | $354.81 | $537.03 | $851.14 |
Midlands Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $2,290.87 | Professional | None | $1,000.00 | $1,000.00 | $2,290.87 |
Midlands Setting Professional Modifier None Typical Low $1,348.96 Median $2,238.72 Typical High $2,454.71 | Professional | None | $1,348.96 | $2,238.72 | $2,454.71 |
Oscar Health Setting Professional Modifier None Typical Low $676.08 Median $933.25 Typical High $1,412.54 | Professional | None | $676.08 | $933.25 | $1,412.54 |
United Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
United Setting Professional Modifier None Typical Low $275.42 Median $537.03 Typical High $776.25 | Professional | None | $275.42 | $537.03 | $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 $208.93 Median $208.93 Typical High $309.03 | Professional | 52 · Reduced service | $208.93 | $208.93 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $123.03 | Professional | 53 · Discontinued | $83.18 | $83.18 | $123.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $63.10 Typical High $93.33 | Professional | 55 · Aftercare only | $63.10 | $63.10 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $41.69 Typical High $61.66 | Professional | 56 · Pre-op care only | $41.69 | $41.69 | $61.66 |
Where Nebraska sits
The same service costs 2.2 times more in Kansas than in Utah. 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· 18th of 51
$661
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.