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 $4,570.88 Median $4,570.88 Typical High $4,570.88 | Facility | None | $4,570.88 | $4,570.88 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $3,630.78 Median $4,570.88 Typical High $5,370.32 | Professional | None | $3,630.78 | $4,570.88 | $5,370.32 |
Cigna Setting Facility Modifier None Typical Low $4,677.35 Median $8,128.31 Typical High $8,128.31 | Facility | None | $4,677.35 | $8,128.31 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $7,943.28 Median $8,511.38 Typical High $15,135.61 | Professional | None | $7,943.28 | $8,511.38 | $15,135.61 |
Medica Setting Facility Modifier None Typical Low $4,570.88 Median $7,943.28 Typical High $34,673.69 | Facility | None | $4,570.88 | $7,943.28 | $34,673.69 |
Medica Setting Professional Modifier None Typical Low $2,754.23 Median $3,630.78 Typical High $5,623.41 | Professional | None | $2,754.23 | $3,630.78 | $5,623.41 |
Midlands Setting Professional Modifier None Typical Low $7,943.28 Median $7,943.28 Typical High $15,135.61 | Professional | None | $7,943.28 | $7,943.28 | $15,135.61 |
Midlands Setting Facility Modifier None Typical Low $8,128.31 Median $8,128.31 Typical High $8,128.31 | Facility | None | $8,128.31 | $8,128.31 | $8,128.31 |
Midlands Setting Professional Modifier None Typical Low $10,000.00 Median $15,135.61 Typical High $19,952.62 | Professional | None | $10,000.00 | $15,135.61 | $19,952.62 |
United Setting Facility Modifier None Typical Low $4,073.80 Median $7,079.46 Typical High $7,079.46 | Facility | None | $4,073.80 | $7,079.46 | $7,079.46 |
United Setting Professional Modifier None Typical Low $2,630.27 Median $3,630.78 Typical High $4,677.35 | Professional | None | $2,630.27 | $3,630.78 | $4,677.35 |
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 $1,819.70 Median $2,290.87 Typical High $2,691.53 | Professional | 52 · Reduced service | $1,819.70 | $2,290.87 | $2,691.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $741.31 Median $912.01 Typical High $1,071.52 | Professional | 53 · Discontinued | $741.31 | $912.01 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $549.54 Median $691.83 Typical High $812.83 | Professional | 55 · Aftercare only | $549.54 | $691.83 | $812.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $363.08 Median $457.09 Typical High $537.03 | Professional | 56 · Pre-op care only | $363.08 | $457.09 | $537.03 |
Where Nebraska sits
The same service costs 3.9 times more in Hawaii than in Washington, DC. 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· 18th of 51
$4,677
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.