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 $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,288.25 | Professional | None | $977.24 | $977.24 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,698.24 Typical High $1,698.24 | Facility | None | $891.25 | $1,698.24 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $1,659.59 Typical High $3,162.28 | Professional | None | $1,584.89 | $1,659.59 | $3,162.28 |
Medica Setting Facility Modifier None Typical Low $954.99 Median $1,659.59 Typical High $7,413.10 | Facility | None | $954.99 | $1,659.59 | $7,413.10 |
Medica Setting Professional Modifier None Typical Low $524.81 Median $758.58 Typical High $1,174.90 | Professional | None | $524.81 | $758.58 | $1,174.90 |
Midlands Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $3,162.28 | Professional | None | $1,659.59 | $1,659.59 | $3,162.28 |
Midlands Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,698.24 | $1,698.24 | $1,698.24 |
Midlands Setting Professional Modifier None Typical Low $2,089.30 Median $3,162.28 Typical High $4,168.69 | Professional | None | $2,089.30 | $3,162.28 | $4,168.69 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,584.89 Typical High $1,584.89 | Facility | None | $851.14 | $1,584.89 | $1,584.89 |
United Setting Professional Modifier None Typical Low $549.54 Median $758.58 Typical High $1,023.29 | Professional | None | $549.54 | $758.58 | $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 $416.87 Median $489.78 Typical High $645.65 | Professional | 52 · Reduced service | $416.87 | $489.78 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $194.98 Typical High $257.04 | Professional | 53 · Discontinued | $165.96 | $194.98 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $147.91 Typical High $194.98 | Professional | 55 · Aftercare only | $123.03 | $147.91 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $97.72 Typical High $128.82 | Professional | 56 · Pre-op care only | $83.18 | $97.72 | $128.82 |
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· 21st of 51
$977
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.