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 $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $309.03 Typical High $407.38 | Professional | None | $288.40 | $309.03 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $537.03 Typical High $537.03 | Facility | None | $295.12 | $537.03 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $588.84 Typical High $1,000.00 | Professional | None | $524.81 | $588.84 | $1,000.00 |
Medica Setting Facility Modifier None Typical Low $302.00 Median $537.03 Typical High $2,570.40 | Facility | None | $302.00 | $537.03 | $2,570.40 |
Medica Setting Professional Modifier None Typical Low $181.97 Median $239.88 Typical High $371.54 | Professional | None | $181.97 | $239.88 | $371.54 |
Midlands Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $1,000.00 | Professional | None | $524.81 | $524.81 | $1,000.00 |
Midlands Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
Midlands Setting Professional Modifier None Typical Low $660.69 Median $1,000.00 Typical High $1,318.26 | Professional | None | $660.69 | $1,000.00 | $1,318.26 |
United Setting Facility Modifier None Typical Low $316.23 Median $549.54 Typical High $549.54 | Facility | None | $316.23 | $549.54 | $549.54 |
United Setting Professional Modifier None Typical Low $173.78 Median $239.88 Typical High $354.81 | Professional | None | $173.78 | $239.88 | $354.81 |
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 $144.54 Median $154.88 Typical High $204.17 | Professional | 52 · Reduced service | $144.54 | $154.88 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $61.66 Typical High $81.28 | Professional | 53 · Discontinued | $57.54 | $61.66 | $81.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $46.77 Typical High $61.66 | Professional | 55 · Aftercare only | $42.66 | $46.77 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $30.90 Typical High $40.74 | Professional | 56 · Pre-op care only | $28.84 | $30.90 | $40.74 |
Where Nebraska sits
The same service costs 4.2 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· 23rd of 51
$309
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.