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 $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $281.84 Typical High $741.31 | Professional | None | $245.47 | $281.84 | $741.31 |
Ambetter Setting Professional Modifier None Typical Low $70.79 Median $457.09 Typical High $457.09 | Professional | None | $70.79 | $457.09 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $478.63 Typical High $478.63 | Facility | None | $263.03 | $478.63 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $501.19 Typical High $912.01 | Professional | None | $467.74 | $501.19 | $912.01 |
Medica Setting Facility Modifier None Typical Low $275.42 Median $467.74 Typical High $2,238.72 | Facility | None | $275.42 | $467.74 | $2,238.72 |
Medica Setting Professional Modifier None Typical Low $158.49 Median $213.80 Typical High $354.81 | Professional | None | $158.49 | $213.80 | $354.81 |
Midlands Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $912.01 | Professional | None | $467.74 | $467.74 | $912.01 |
Midlands Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
Midlands Setting Professional Modifier None Typical Low $588.84 Median $912.01 Typical High $1,174.90 | Professional | None | $588.84 | $912.01 | $1,174.90 |
United Setting Facility Modifier None Typical Low $213.80 Median $478.63 Typical High $478.63 | Facility | None | $213.80 | $478.63 | $478.63 |
United Setting Professional Modifier None Typical Low $154.88 Median $213.80 Typical High $309.03 | Professional | None | $154.88 | $213.80 | $309.03 |
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 $123.03 Median $138.04 Typical High $186.21 | Professional | 52 · Reduced service | $123.03 | $138.04 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $56.23 Typical High $74.13 | Professional | 53 · Discontinued | $48.98 | $56.23 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $41.69 Typical High $54.95 | Professional | 55 · Aftercare only | $37.15 | $41.69 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $28.18 Typical High $37.15 | Professional | 56 · Pre-op care only | $24.55 | $28.18 | $37.15 |
Where Nebraska sits
The same service costs 4.7 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· 22nd of 51
$282
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.