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 $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $223.87 Typical High $295.12 | Professional | None | $154.88 | $223.87 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $380.19 Typical High $380.19 | Facility | None | $158.49 | $380.19 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $380.19 Typical High $724.44 | Professional | None | $371.54 | $380.19 | $724.44 |
Medica Setting Facility Modifier None Typical Low $218.78 Median $371.54 Typical High $1,412.54 | Facility | None | $218.78 | $371.54 | $1,412.54 |
Medica Setting Professional Modifier None Typical Low $112.20 Median $169.82 Typical High $269.15 | Professional | None | $112.20 | $169.82 | $269.15 |
Midlands Setting Professional Modifier None Typical Low $371.54 Median $380.19 Typical High $724.44 | Professional | None | $371.54 | $380.19 | $724.44 |
Midlands Setting Professional Modifier None Typical Low $467.74 Median $724.44 Typical High $933.25 | Professional | None | $467.74 | $724.44 | $933.25 |
United Setting Facility Modifier None Typical Low $141.25 Median $295.12 Typical High $295.12 | Facility | None | $141.25 | $295.12 | $295.12 |
United Setting Professional Modifier None Typical Low $112.20 Median $158.49 Typical High $190.55 | Professional | None | $112.20 | $158.49 | $190.55 |
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 $77.62 Median $109.65 Typical High $147.91 | Professional | 52 · Reduced service | $77.62 | $109.65 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $44.67 Typical High $58.88 | Professional | 53 · Discontinued | $30.90 | $44.67 | $58.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $33.11 Typical High $43.65 | Professional | 55 · Aftercare only | $22.91 | $33.11 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $22.39 Typical High $29.51 | Professional | 56 · Pre-op care only | $15.49 | $22.39 | $29.51 |
Where Nebraska sits
The same service costs 4.4 times more in Hawaii than in Kansas. 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· 14th of 51
$224
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.