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 $3,090.30 Median $3,090.30 Typical High $3,090.30 | Facility | None | $3,090.30 | $3,090.30 | $3,090.30 |
Aetna Setting Professional Modifier None Typical Low $2,754.23 Median $3,090.30 Typical High $3,630.78 | Professional | None | $2,754.23 | $3,090.30 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $2,884.03 Median $5,495.41 Typical High $5,495.41 | Facility | None | $2,884.03 | $5,495.41 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $5,370.32 Median $6,025.60 Typical High $10,232.93 | Professional | None | $5,370.32 | $6,025.60 | $10,232.93 |
Medica Setting Facility Modifier None Typical Low $3,090.30 Median $5,370.32 Typical High $24,547.09 | Facility | None | $3,090.30 | $5,370.32 | $24,547.09 |
Medica Setting Professional Modifier None Typical Low $1,862.09 Median $2,454.71 Typical High $4,073.80 | Professional | None | $1,862.09 | $2,454.71 | $4,073.80 |
Midlands Setting Professional Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $10,232.93 | Professional | None | $5,370.32 | $5,370.32 | $10,232.93 |
Midlands Setting Facility Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $5,495.41 | Facility | None | $5,495.41 | $5,495.41 | $5,495.41 |
Midlands Setting Professional Modifier None Typical Low $6,760.83 Median $10,232.93 Typical High $13,489.63 | Professional | None | $6,760.83 | $10,232.93 | $13,489.63 |
United Setting Facility Modifier None Typical Low $3,019.95 Median $5,248.07 Typical High $5,248.07 | Facility | None | $3,019.95 | $5,248.07 | $5,248.07 |
United Setting Professional Modifier None Typical Low $1,778.28 Median $2,454.71 Typical High $3,548.13 | Professional | None | $1,778.28 | $2,454.71 | $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 $1,548.82 Typical High $1,819.70 | Professional | 52 · Reduced service | $1,380.38 | $1,548.82 | $1,819.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $549.54 Median $616.60 Typical High $724.44 | Professional | 53 · Discontinued | $549.54 | $616.60 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $407.38 Median $467.74 Typical High $549.54 | Professional | 55 · Aftercare only | $407.38 | $467.74 | $549.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $275.42 Median $309.03 Typical High $363.08 | Professional | 56 · Pre-op care only | $275.42 | $309.03 | $363.08 |
Where Nebraska sits
The same service costs 3.4 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· 17th 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.