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 $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $676.08 Typical High $891.25 | Professional | None | $630.96 | $676.08 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,174.90 Typical High $1,174.90 | Facility | None | $741.31 | $1,174.90 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,230.27 Typical High $2,238.72 | Professional | None | $1,148.15 | $1,230.27 | $2,238.72 |
Medica Setting Facility Modifier None Typical Low $660.69 Median $1,148.15 Typical High $5,623.41 | Facility | None | $660.69 | $1,148.15 | $5,623.41 |
Medica Setting Professional Modifier None Typical Low $398.11 Median $524.81 Typical High $812.83 | Professional | None | $398.11 | $524.81 | $812.83 |
Midlands Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $2,238.72 | Professional | None | $1,148.15 | $1,148.15 | $2,238.72 |
Midlands 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 |
Midlands Setting Professional Modifier None Typical Low $1,445.44 Median $2,238.72 Typical High $2,884.03 | Professional | None | $1,445.44 | $2,238.72 | $2,884.03 |
United Setting Facility Modifier None Typical Low $691.83 Median $1,202.26 Typical High $1,202.26 | Facility | None | $691.83 | $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 $316.23 Median $338.84 Typical High $446.68 | Professional | 52 · Reduced service | $316.23 | $338.84 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $134.90 Typical High $181.97 | Professional | 53 · Discontinued | $125.89 | $134.90 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $102.33 Typical High $134.90 | Professional | 55 · Aftercare only | $93.33 | $102.33 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $67.61 Typical High $89.13 | Professional | 56 · Pre-op care only | $63.10 | $67.61 | $89.13 |
Where Nebraska sits
The same service costs 4.2 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· 26th of 51
$676
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.