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 $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $346.74 Typical High $457.09 | Professional | None | $323.59 | $346.74 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $602.56 Typical High $602.56 | Facility | None | $338.84 | $602.56 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $676.08 Typical High $1,148.15 | Professional | None | $588.84 | $676.08 | $1,148.15 |
Medica Setting Facility Modifier None Typical Low $338.84 Median $602.56 Typical High $2,884.03 | Facility | None | $338.84 | $602.56 | $2,884.03 |
Medica Setting Professional Modifier None Typical Low $204.17 Median $269.15 Typical High $416.87 | Professional | None | $204.17 | $269.15 | $416.87 |
Midlands Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $1,148.15 | Professional | None | $588.84 | $588.84 | $1,148.15 |
Midlands Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Midlands Setting Professional Modifier None Typical Low $741.31 Median $1,148.15 Typical High $1,479.11 | Professional | None | $741.31 | $1,148.15 | $1,479.11 |
United Setting Facility Modifier None Typical Low $354.81 Median $616.60 Typical High $616.60 | Facility | None | $354.81 | $616.60 | $616.60 |
United Setting Professional Modifier None Typical Low $194.98 Median $269.15 Typical High $407.38 | Professional | None | $194.98 | $269.15 | $407.38 |
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 $162.18 Median $173.78 Typical High $229.09 | Professional | 52 · Reduced service | $162.18 | $173.78 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $69.18 Typical High $93.33 | Professional | 53 · Discontinued | $64.57 | $69.18 | $93.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $52.48 Typical High $69.18 | Professional | 55 · Aftercare only | $47.86 | $52.48 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $34.67 Typical High $45.71 | Professional | 56 · Pre-op care only | $32.36 | $34.67 | $45.71 |
Where Nebraska sits
The same service costs 4.2 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
$347
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.