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 $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $812.83 Typical High $1,071.52 | Professional | None | $724.44 | $812.83 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,412.54 Typical High $1,412.54 | Facility | None | $741.31 | $1,412.54 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $2,630.27 | Professional | None | $1,380.38 | $1,380.38 | $2,630.27 |
Medica Setting Facility Modifier None Typical Low $794.33 Median $1,380.38 Typical High $6,309.57 | Facility | None | $794.33 | $1,380.38 | $6,309.57 |
Medica Setting Professional Modifier None Typical Low $457.09 Median $630.96 Typical High $977.24 | Professional | None | $457.09 | $630.96 | $977.24 |
Midlands Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $2,630.27 | Professional | None | $1,380.38 | $1,380.38 | $2,630.27 |
Midlands Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Midlands Setting Professional Modifier None Typical Low $1,737.80 Median $2,630.27 Typical High $3,467.37 | Professional | None | $1,737.80 | $2,630.27 | $3,467.37 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,348.96 Typical High $1,348.96 | Facility | None | $776.25 | $1,348.96 | $1,348.96 |
United Setting Professional Modifier None Typical Low $457.09 Median $630.96 Typical High $891.25 | Professional | None | $457.09 | $630.96 | $891.25 |
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 $363.08 Median $407.38 Typical High $537.03 | Professional | 52 · Reduced service | $363.08 | $407.38 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $162.18 Typical High $213.80 | Professional | 53 · Discontinued | $144.54 | $162.18 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $123.03 Typical High $162.18 | Professional | 55 · Aftercare only | $109.65 | $123.03 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $81.28 Typical High $107.15 | Professional | 56 · Pre-op care only | $72.44 | $81.28 | $107.15 |
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· 26th of 51
$813
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.