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 $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $263.03 Typical High $426.58 | Professional | None | $204.17 | $263.03 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $457.09 Typical High $457.09 | Facility | None | $229.09 | $457.09 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $489.78 Typical High $870.96 | Professional | None | $446.68 | $489.78 | $870.96 |
Medica Setting Facility Modifier None Typical Low $257.04 Median $446.68 Typical High $1,905.46 | Facility | None | $257.04 | $446.68 | $1,905.46 |
Medica Setting Professional Modifier None Typical Low $134.90 Median $204.17 Typical High $338.84 | Professional | None | $134.90 | $204.17 | $338.84 |
Midlands Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $870.96 | Professional | None | $446.68 | $446.68 | $870.96 |
Midlands Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Midlands Setting Professional Modifier None Typical Low $562.34 Median $870.96 Typical High $1,122.02 | Professional | None | $562.34 | $870.96 | $1,122.02 |
United Setting Facility Modifier None Typical Low $229.09 Median $398.11 Typical High $398.11 | Facility | None | $229.09 | $398.11 | $398.11 |
United Setting Professional Modifier None Typical Low $141.25 Median $190.55 Typical High $257.04 | Professional | None | $141.25 | $190.55 | $257.04 |
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 $102.33 Median $131.83 Typical High $173.78 | Professional | 52 · Reduced service | $102.33 | $131.83 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $52.48 Typical High $69.18 | Professional | 53 · Discontinued | $40.74 | $52.48 | $69.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $39.81 Typical High $52.48 | Professional | 55 · Aftercare only | $30.90 | $39.81 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $26.30 Typical High $34.67 | Professional | 56 · Pre-op care only | $20.42 | $26.30 | $34.67 |
Where Nebraska sits
The same service costs 3.5 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· 20th of 51
$263
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.