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 $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $204.17 Typical High $269.15 | Professional | None | $181.97 | $204.17 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $354.81 Typical High $354.81 | Facility | None | $190.55 | $354.81 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $398.11 Typical High $676.08 | Professional | None | $346.74 | $398.11 | $676.08 |
Medica Setting Facility Modifier None Typical Low $199.53 Median $346.74 Typical High $1,584.89 | Facility | None | $199.53 | $346.74 | $1,584.89 |
Medica Setting Professional Modifier None Typical Low $117.49 Median $158.49 Typical High $245.47 | Professional | None | $117.49 | $158.49 | $245.47 |
Midlands Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $676.08 | Professional | None | $346.74 | $346.74 | $676.08 |
Midlands Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
Midlands Setting Professional Modifier None Typical Low $436.52 Median $676.08 Typical High $870.96 | Professional | None | $436.52 | $676.08 | $870.96 |
United Setting Facility Modifier None Typical Low $125.89 Median $354.81 Typical High $354.81 | Facility | None | $125.89 | $354.81 | $354.81 |
United Setting Professional Modifier None Typical Low $114.82 Median $158.49 Typical High $229.09 | Professional | None | $114.82 | $158.49 | $229.09 |
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 $91.20 Median $102.33 Typical High $134.90 | Professional | 52 · Reduced service | $91.20 | $102.33 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $40.74 Typical High $54.95 | Professional | 53 · Discontinued | $36.31 | $40.74 | $54.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $30.90 Typical High $40.74 | Professional | 55 · Aftercare only | $27.54 | $30.90 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $20.42 Typical High $26.92 | Professional | 56 · Pre-op care only | $18.20 | $20.42 | $26.92 |
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· 22nd of 51
$204
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.