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 $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $1,148.15 Typical High $1,548.82 | Professional | None | $851.14 | $1,148.15 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,995.26 Typical High $1,995.26 | Facility | None | $891.25 | $1,995.26 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $2,041.74 Typical High $3,801.89 | Professional | None | $1,949.84 | $2,041.74 | $3,801.89 |
Medica Setting Facility Modifier None Typical Low $1,148.15 Median $1,949.84 Typical High $7,413.10 | Facility | None | $1,148.15 | $1,949.84 | $7,413.10 |
Medica Setting Professional Modifier None Typical Low $588.84 Median $891.25 Typical High $1,412.54 | Professional | None | $588.84 | $891.25 | $1,412.54 |
Midlands Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $3,801.89 | Professional | None | $1,949.84 | $1,949.84 | $3,801.89 |
Midlands Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
Midlands Setting Professional Modifier None Typical Low $2,454.71 Median $3,801.89 Typical High $4,897.79 | Professional | None | $2,454.71 | $3,801.89 | $4,897.79 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,659.59 Typical High $1,659.59 | Facility | None | $707.95 | $1,659.59 | $1,659.59 |
United Setting Professional Modifier None Typical Low $602.56 Median $851.14 Typical High $1,071.52 | Professional | None | $602.56 | $851.14 | $1,071.52 |
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 $426.58 Median $575.44 Typical High $758.58 | Professional | 52 · Reduced service | $426.58 | $575.44 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $234.42 Typical High $309.03 | Professional | 53 · Discontinued | $169.82 | $234.42 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $173.78 Typical High $229.09 | Professional | 55 · Aftercare only | $128.82 | $173.78 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $114.82 Typical High $154.88 | Professional | 56 · Pre-op care only | $85.11 | $114.82 | $154.88 |
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· 18th of 51
$1,148
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.