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 $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $870.96 Typical High $1,148.15 | Professional | None | $812.83 | $870.96 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,513.56 Typical High $1,513.56 | Facility | None | $851.14 | $1,513.56 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $1,698.24 Typical High $2,884.03 | Professional | None | $1,479.11 | $1,698.24 | $2,884.03 |
Medica Setting Facility Modifier None Typical Low $851.14 Median $1,513.56 Typical High $7,079.46 | Facility | None | $851.14 | $1,513.56 | $7,079.46 |
Medica Setting Professional Modifier None Typical Low $512.86 Median $676.08 Typical High $1,047.13 | Professional | None | $512.86 | $676.08 | $1,047.13 |
Midlands Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $2,884.03 | Professional | None | $1,479.11 | $1,479.11 | $2,884.03 |
Midlands Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Midlands Setting Professional Modifier None Typical Low $1,862.09 Median $2,884.03 Typical High $3,715.35 | Professional | None | $1,862.09 | $2,884.03 | $3,715.35 |
United Setting Facility Modifier None Typical Low $630.96 Median $1,548.82 Typical High $1,548.82 | Facility | None | $630.96 | $1,548.82 | $1,548.82 |
United Setting Professional Modifier None Typical Low $489.78 Median $676.08 Typical High $1,023.29 | Professional | None | $489.78 | $676.08 | $1,023.29 |
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 $407.38 Median $436.52 Typical High $575.44 | Professional | 52 · Reduced service | $407.38 | $436.52 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $173.78 Typical High $234.42 | Professional | 53 · Discontinued | $162.18 | $173.78 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $131.83 Typical High $173.78 | Professional | 55 · Aftercare only | $120.23 | $131.83 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $87.10 Typical High $114.82 | Professional | 56 · Pre-op care only | $81.28 | $87.10 | $114.82 |
Where Nebraska sits
The same service costs 3.0 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
$871
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.