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 $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $489.78 Typical High $645.65 | Professional | None | $436.52 | $489.78 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $851.14 Typical High $851.14 | Facility | None | $446.68 | $851.14 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $870.96 Typical High $1,584.89 | Professional | None | $831.76 | $870.96 | $1,584.89 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $831.76 Typical High $3,801.89 | Facility | None | $478.63 | $831.76 | $3,801.89 |
Medica Setting Professional Modifier None Typical Low $275.42 Median $380.19 Typical High $588.84 | Professional | None | $275.42 | $380.19 | $588.84 |
Midlands Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,584.89 | Professional | None | $831.76 | $831.76 | $1,584.89 |
Midlands Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Midlands Setting Professional Modifier None Typical Low $1,047.13 Median $1,584.89 Typical High $2,089.30 | Professional | None | $1,047.13 | $1,584.89 | $2,089.30 |
United Setting Facility Modifier None Typical Low $478.63 Median $831.76 Typical High $831.76 | Facility | None | $478.63 | $831.76 | $831.76 |
United Setting Professional Modifier None Typical Low $275.42 Median $380.19 Typical High $537.03 | Professional | None | $275.42 | $380.19 | $537.03 |
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 $218.78 Median $245.47 Typical High $323.59 | Professional | 52 · Reduced service | $218.78 | $245.47 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $97.72 Typical High $128.82 | Professional | 53 · Discontinued | $87.10 | $97.72 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $74.13 Typical High $97.72 | Professional | 55 · Aftercare only | $64.57 | $74.13 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $48.98 Typical High $64.57 | Professional | 56 · Pre-op care only | $43.65 | $48.98 | $64.57 |
Where Nebraska sits
The same service costs 4.6 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
$490
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.