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 $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,691.53 | $2,691.53 | $2,691.53 |
Aetna Setting Professional Modifier None Typical Low $2,398.83 Median $2,691.53 Typical High $3,162.28 | Professional | None | $2,398.83 | $2,691.53 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $2,754.23 Median $4,786.30 Typical High $4,786.30 | Facility | None | $2,754.23 | $4,786.30 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $4,677.35 Median $5,128.61 Typical High $8,912.51 | Professional | None | $4,677.35 | $5,128.61 | $8,912.51 |
Medica Setting Facility Modifier None Typical Low $2,691.53 Median $4,677.35 Typical High $20,892.96 | Facility | None | $2,691.53 | $4,677.35 | $20,892.96 |
Medica Setting Professional Modifier None Typical Low $1,621.81 Median $2,089.30 Typical High $3,311.31 | Professional | None | $1,621.81 | $2,089.30 | $3,311.31 |
Midlands Setting Professional Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $8,912.51 | Professional | None | $4,677.35 | $4,677.35 | $8,912.51 |
Midlands Setting Facility Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Facility | None | $4,786.30 | $4,786.30 | $4,786.30 |
Midlands Setting Professional Modifier None Typical Low $5,888.44 Median $8,912.51 Typical High $11,748.98 | Professional | None | $5,888.44 | $8,912.51 | $11,748.98 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $4,570.88 Typical High $4,570.88 | Facility | None | $2,187.76 | $4,570.88 | $4,570.88 |
United Setting Professional Modifier None Typical Low $1,548.82 Median $2,089.30 Typical High $3,019.95 | Professional | None | $1,548.82 | $2,089.30 | $3,019.95 |
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 $1,202.26 Median $1,348.96 Typical High $1,584.89 | Professional | 52 · Reduced service | $1,202.26 | $1,348.96 | $1,584.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $478.63 Median $537.03 Typical High $630.96 | Professional | 53 · Discontinued | $478.63 | $537.03 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $354.81 Median $407.38 Typical High $478.63 | Professional | 55 · Aftercare only | $354.81 | $407.38 | $478.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $239.88 Median $269.15 Typical High $316.23 | Professional | 56 · Pre-op care only | $239.88 | $269.15 | $316.23 |
Where Nebraska sits
The same service costs 2.6 times more in Hawaii than in West Virginia. 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· 19th of 51
$3,020
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.