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 $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $851.14 Typical High $1,122.02 | Professional | None | $794.33 | $851.14 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $1,479.11 Typical High $1,479.11 | Facility | None | $831.76 | $1,479.11 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $1,445.44 Median $1,548.82 Typical High $2,818.38 | Professional | None | $1,445.44 | $1,548.82 | $2,818.38 |
Medica Setting Facility Modifier None Typical Low $831.76 Median $1,445.44 Typical High $7,079.46 | Facility | None | $831.76 | $1,445.44 | $7,079.46 |
Medica Setting Professional Modifier None Typical Low $501.19 Median $660.69 Typical High $1,023.29 | Professional | None | $501.19 | $660.69 | $1,023.29 |
Midlands Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $2,818.38 | Professional | None | $1,445.44 | $1,445.44 | $2,818.38 |
Midlands Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
Midlands Setting Professional Modifier None Typical Low $1,819.70 Median $2,818.38 Typical High $3,630.78 | Professional | None | $1,819.70 | $2,818.38 | $3,630.78 |
United Setting Facility Modifier None Typical Low $870.96 Median $1,513.56 Typical High $1,513.56 | Facility | None | $870.96 | $1,513.56 | $1,513.56 |
United Setting Professional Modifier None Typical Low $478.63 Median $660.69 Typical High $977.24 | Professional | None | $478.63 | $660.69 | $977.24 |
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 $398.11 Median $426.58 Typical High $562.34 | Professional | 52 · Reduced service | $398.11 | $426.58 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $169.82 Typical High $223.87 | Professional | 53 · Discontinued | $158.49 | $169.82 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $128.82 Typical High $169.82 | Professional | 55 · Aftercare only | $117.49 | $128.82 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $85.11 Typical High $112.20 | Professional | 56 · Pre-op care only | $79.43 | $85.11 | $112.20 |
Where Nebraska sits
The same service costs 5.4 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
$851
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.