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 $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $147.91 Typical High $194.98 | Professional | None | $134.90 | $147.91 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $251.19 Typical High $251.19 | Facility | None | $141.25 | $251.19 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $263.03 Typical High $478.63 | Professional | None | $245.47 | $263.03 | $478.63 |
Medica Setting Facility Modifier None Typical Low $144.54 Median $251.19 Typical High $1,258.93 | Facility | None | $144.54 | $251.19 | $1,258.93 |
Medica Setting Professional Modifier None Typical Low $85.11 Median $112.20 Typical High $177.83 | Professional | None | $85.11 | $112.20 | $177.83 |
Midlands Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $478.63 | Professional | None | $245.47 | $245.47 | $478.63 |
Midlands Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Midlands Setting Professional Modifier None Typical Low $316.23 Median $478.63 Typical High $616.60 | Professional | None | $316.23 | $478.63 | $616.60 |
United Setting Facility Modifier None Typical Low $151.36 Median $263.03 Typical High $389.05 | Facility | None | $151.36 | $263.03 | $389.05 |
United Setting Professional Modifier None Typical Low $81.28 Median $112.20 Typical High $169.82 | Professional | None | $81.28 | $112.20 | $169.82 |
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 $67.61 Median $74.13 Typical High $97.72 | Professional | 52 · Reduced service | $67.61 | $74.13 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $29.51 Typical High $38.90 | Professional | 53 · Discontinued | $26.92 | $29.51 | $38.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $21.88 Typical High $28.84 | Professional | 55 · Aftercare only | $20.42 | $21.88 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $14.79 Typical High $19.50 | Professional | 56 · Pre-op care only | $13.49 | $14.79 | $19.50 |
Where Nebraska sits
The same service costs 8.1 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· 21st of 51
$148
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.