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 $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,621.81 | Professional | None | $1,230.27 | $1,230.27 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $2,089.30 Typical High $2,089.30 | Facility | None | $1,174.90 | $2,089.30 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $2,290.87 Typical High $3,981.07 | Professional | None | $2,041.74 | $2,290.87 | $3,981.07 |
Medica Setting Facility Modifier None Typical Low $1,202.26 Median $2,041.74 Typical High $10,000.00 | Facility | None | $1,202.26 | $2,041.74 | $10,000.00 |
Medica Setting Professional Modifier None Typical Low $707.95 Median $933.25 Typical High $1,479.11 | Professional | None | $707.95 | $933.25 | $1,479.11 |
Midlands Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $3,981.07 | Professional | None | $2,041.74 | $2,041.74 | $3,981.07 |
Midlands Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
Midlands Setting Professional Modifier None Typical Low $2,630.27 Median $3,981.07 Typical High $5,128.61 | Professional | None | $2,630.27 | $3,981.07 | $5,128.61 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $2,187.76 Typical High $2,187.76 | Facility | None | $1,122.02 | $2,187.76 | $2,187.76 |
United 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 |
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 $562.34 Median $616.60 Typical High $812.83 | Professional | 52 · Reduced service | $562.34 | $616.60 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $245.47 Typical High $323.59 | Professional | 53 · Discontinued | $223.87 | $245.47 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $181.97 Typical High $239.88 | Professional | 55 · Aftercare only | $169.82 | $181.97 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $123.03 Typical High $162.18 | Professional | 56 · Pre-op care only | $112.20 | $123.03 | $162.18 |
Where Nebraska sits
The same service costs 3.3 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· 25th of 51
$1,230
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.