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 $3,311.31 Median $3,311.31 Typical High $3,311.31 | Facility | None | $3,311.31 | $3,311.31 | $3,311.31 |
Aetna Setting Professional Modifier None Typical Low $2,754.23 Median $3,311.31 Typical High $3,890.45 | Professional | None | $2,754.23 | $3,311.31 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $3,630.78 Median $5,888.44 Typical High $5,888.44 | Facility | None | $3,630.78 | $5,888.44 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $5,754.40 Median $6,606.93 Typical High $11,220.18 | Professional | None | $5,754.40 | $6,606.93 | $11,220.18 |
Medica Setting Facility Modifier None Typical Low $3,311.31 Median $5,754.40 Typical High $24,547.09 | Facility | None | $3,311.31 | $5,754.40 | $24,547.09 |
Medica Setting Professional Modifier None Typical Low $1,995.26 Median $2,630.27 Typical High $4,073.80 | Professional | None | $1,995.26 | $2,630.27 | $4,073.80 |
Midlands Setting Professional Modifier None Typical Low $5,754.40 Median $5,754.40 Typical High $11,220.18 | Professional | None | $5,754.40 | $5,754.40 | $11,220.18 |
Midlands Setting Facility Modifier None Typical Low $5,888.44 Median $5,888.44 Typical High $5,888.44 | Facility | None | $5,888.44 | $5,888.44 | $5,888.44 |
Midlands Setting Professional Modifier None Typical Low $7,244.36 Median $11,220.18 Typical High $14,454.40 | Professional | None | $7,244.36 | $11,220.18 | $14,454.40 |
United Setting Facility Modifier None Typical Low $3,090.30 Median $5,248.07 Typical High $5,248.07 | Facility | None | $3,090.30 | $5,248.07 | $5,248.07 |
United Setting Professional Modifier None Typical Low $1,905.46 Median $2,630.27 Typical High $3,548.13 | Professional | None | $1,905.46 | $2,630.27 | $3,548.13 |
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 $1,380.38 Median $1,659.59 Typical High $1,949.84 | Professional | 52 · Reduced service | $1,380.38 | $1,659.59 | $1,949.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $549.54 Median $676.08 Typical High $776.25 | Professional | 53 · Discontinued | $549.54 | $676.08 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $416.87 Median $501.19 Typical High $588.84 | Professional | 55 · Aftercare only | $416.87 | $501.19 | $588.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $275.42 Median $331.13 Typical High $389.05 | Professional | 56 · Pre-op care only | $275.42 | $331.13 | $389.05 |
Where Nebraska sits
The same service costs 3.0 times more in Hawaii than in Pennsylvania. 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· 21st of 51
$3,548
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.