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 $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $354.81 Typical High $467.74 | Professional | None | $295.12 | $354.81 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $616.60 Typical High $616.60 | Facility | None | $389.05 | $616.60 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $691.83 Typical High $1,174.90 | Professional | None | $602.56 | $691.83 | $1,174.90 |
Medica Setting Facility Modifier None Typical Low $346.74 Median $602.56 Typical High $2,630.27 | Facility | None | $346.74 | $602.56 | $2,630.27 |
Medica Setting Professional Modifier None Typical Low $190.55 Median $275.42 Typical High $426.58 | Professional | None | $190.55 | $275.42 | $426.58 |
Midlands Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $1,174.90 | Professional | None | $602.56 | $602.56 | $1,174.90 |
Midlands Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Midlands Setting Professional Modifier None Typical Low $758.58 Median $1,174.90 Typical High $1,513.56 | Professional | None | $758.58 | $1,174.90 | $1,513.56 |
United Setting Facility Modifier None Typical Low $331.13 Median $575.44 Typical High $575.44 | Facility | None | $331.13 | $575.44 | $575.44 |
United Setting Professional Modifier None Typical Low $199.53 Median $275.42 Typical High $371.54 | Professional | None | $199.53 | $275.42 | $371.54 |
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 $147.91 Median $177.83 Typical High $234.42 | Professional | 52 · Reduced service | $147.91 | $177.83 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $70.79 Typical High $93.33 | Professional | 53 · Discontinued | $58.88 | $70.79 | $93.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $53.70 Typical High $70.79 | Professional | 55 · Aftercare only | $44.67 | $53.70 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $35.48 Typical High $46.77 | Professional | 56 · Pre-op care only | $29.51 | $35.48 | $46.77 |
Where Nebraska sits
The same service costs 3.4 times more in Hawaii than in Washington, DC. 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
$355
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.