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 $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $707.95 Typical High $954.99 | Professional | None | $630.96 | $707.95 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $1,230.27 Typical High $1,230.27 | Facility | None | $616.60 | $1,230.27 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,288.25 Typical High $2,344.23 | Professional | None | $1,202.26 | $1,288.25 | $2,344.23 |
Medica Setting Facility Modifier None Typical Low $707.95 Median $1,202.26 Typical High $5,128.61 | Facility | None | $707.95 | $1,202.26 | $5,128.61 |
Medica Setting Professional Modifier None Typical Low $389.05 Median $549.54 Typical High $870.96 | Professional | None | $389.05 | $549.54 | $870.96 |
Midlands Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $2,344.23 | Professional | None | $1,202.26 | $1,202.26 | $2,344.23 |
Midlands Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Midlands Setting Professional Modifier None Typical Low $1,513.56 Median $2,344.23 Typical High $3,019.95 | Professional | None | $1,513.56 | $2,344.23 | $3,019.95 |
United 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 |
United Setting Professional Modifier None Typical Low $398.11 Median $549.54 Typical High $776.25 | Professional | None | $398.11 | $549.54 | $776.25 |
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 $316.23 Median $354.81 Typical High $467.74 | Professional | 52 · Reduced service | $316.23 | $354.81 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $141.25 Typical High $190.55 | Professional | 53 · Discontinued | $125.89 | $141.25 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $107.15 Typical High $141.25 | Professional | 55 · Aftercare only | $93.33 | $107.15 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $70.79 Typical High $95.50 | Professional | 56 · Pre-op care only | $63.10 | $70.79 | $95.50 |
Where Nebraska sits
The same service costs 2.6 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· 23rd of 51
$708
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.