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 $630.96 Median $691.83 Typical High $912.01 | Professional | None | $630.96 | $691.83 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $1,202.26 Typical High $1,202.26 | Facility | None | $724.44 | $1,202.26 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,258.93 Typical High $2,290.87 | Professional | None | $1,174.90 | $1,258.93 | $2,290.87 |
Medica Setting Facility Modifier None Typical Low $676.08 Median $1,174.90 Typical High $5,011.87 | Facility | None | $676.08 | $1,174.90 | $5,011.87 |
Medica Setting Professional Modifier None Typical Low $371.54 Median $537.03 Typical High $891.25 | Professional | None | $371.54 | $537.03 | $891.25 |
Midlands Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $2,290.87 | Professional | None | $1,174.90 | $1,174.90 | $2,290.87 |
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 $2,290.87 Typical High $2,951.21 | Professional | None | $1,479.11 | $2,290.87 | $2,951.21 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
United Setting Professional Modifier None Typical Low $389.05 Median $537.03 Typical High $724.44 | Professional | None | $389.05 | $537.03 | $724.44 |
2 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 55 · Aftercare only Typical Low $87.10 Median $104.71 Typical High $138.04 | Professional | 55 · Aftercare only | $87.10 | $104.71 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $69.18 Typical High $91.20 | Professional | 56 · Pre-op care only | $57.54 | $69.18 | $91.20 |
Where Nebraska sits
The same service costs 2.0 times more in Montana than in West Virginia. 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· 23rd 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.