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 $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
Aetna Setting Professional Modifier None Typical Low $1,949.84 Median $2,089.30 Typical High $2,754.23 | Professional | None | $1,949.84 | $2,089.30 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $3,630.78 Typical High $3,630.78 | Facility | None | $1,995.26 | $3,630.78 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $3,548.13 Median $4,073.80 Typical High $6,918.31 | Professional | None | $3,548.13 | $4,073.80 | $6,918.31 |
Medica Setting Facility Modifier None Typical Low $2,041.74 Median $3,630.78 Typical High $17,378.01 | Facility | None | $2,041.74 | $3,630.78 | $17,378.01 |
Medica Setting Professional Modifier None Typical Low $1,230.27 Median $1,621.81 Typical High $2,691.53 | Professional | None | $1,230.27 | $1,621.81 | $2,691.53 |
Midlands Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $6,918.31 | Professional | None | $3,548.13 | $3,548.13 | $6,918.31 |
Midlands Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Facility | None | $3,630.78 | $3,630.78 | $3,630.78 |
Midlands Setting Professional Modifier None Typical Low $4,466.84 Median $6,918.31 Typical High $8,912.51 | Professional | None | $4,466.84 | $6,918.31 | $8,912.51 |
United Setting Facility Modifier None Typical Low $2,137.96 Median $3,715.35 Typical High $3,715.35 | Facility | None | $2,137.96 | $3,715.35 | $3,715.35 |
United Setting Professional Modifier None Typical Low $1,174.90 Median $1,621.81 Typical High $2,398.83 | Professional | None | $1,174.90 | $1,621.81 | $2,398.83 |
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 $977.24 Median $1,047.13 Typical High $1,380.38 | Professional | 52 · Reduced service | $977.24 | $1,047.13 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $416.87 Typical High $549.54 | Professional | 53 · Discontinued | $389.05 | $416.87 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $316.23 Typical High $416.87 | Professional | 55 · Aftercare only | $288.40 | $316.23 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $194.98 Median $208.93 Typical High $275.42 | Professional | 56 · Pre-op care only | $194.98 | $208.93 | $275.42 |
Where Nebraska sits
The same service costs 4.4 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· 24th of 51
$2,089
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.