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 $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $478.63 | Professional | None | $331.13 | $331.13 | $478.63 |
Ambetter Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $575.44 Typical High $575.44 | Facility | None | $363.08 | $575.44 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $630.96 Typical High $1,071.52 | Professional | None | $562.34 | $630.96 | $1,071.52 |
Medica Setting Facility Modifier None Typical Low $323.59 Median $562.34 Typical High $2,691.53 | Facility | None | $323.59 | $562.34 | $2,691.53 |
Medica Setting Professional Modifier None Typical Low $194.98 Median $257.04 Typical High $512.86 | Professional | None | $194.98 | $257.04 | $512.86 |
Midlands Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $1,071.52 | Professional | None | $562.34 | $562.34 | $1,071.52 |
Midlands Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | None | $575.44 | $575.44 | $575.44 |
Midlands Setting Professional Modifier None Typical Low $707.95 Median $1,071.52 Typical High $1,412.54 | Professional | None | $707.95 | $1,071.52 | $1,412.54 |
United Setting Facility Modifier None Typical Low $338.84 Median $588.84 Typical High $588.84 | Facility | None | $338.84 | $588.84 | $588.84 |
United Setting Professional Modifier None Typical Low $186.21 Median $257.04 Typical High $380.19 | Professional | None | $186.21 | $257.04 | $380.19 |
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 $154.88 Median $165.96 Typical High $218.78 | Professional | 52 · Reduced service | $154.88 | $165.96 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $66.07 Typical High $87.10 | Professional | 53 · Discontinued | $61.66 | $66.07 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $50.12 Typical High $66.07 | Professional | 55 · Aftercare only | $45.71 | $50.12 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $33.11 Typical High $43.65 | Professional | 56 · Pre-op care only | $30.90 | $33.11 | $43.65 |
Where Nebraska sits
The same service costs 3.3 times more in Hawaii than in West Virginia. 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
$389
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.