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 $3,019.95 Median $3,019.95 Typical High $3,019.95 | Facility | None | $3,019.95 | $3,019.95 | $3,019.95 |
Aetna Setting Professional Modifier None Typical Low $2,454.71 Median $3,019.95 Typical High $3,548.13 | Professional | None | $2,454.71 | $3,019.95 | $3,548.13 |
Cigna 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 |
Cigna Setting Professional Modifier None Typical Low $5,128.61 Median $5,888.44 Typical High $10,000.00 | Professional | None | $5,128.61 | $5,888.44 | $10,000.00 |
Medica Setting Facility Modifier None Typical Low $3,019.95 Median $5,128.61 Typical High $20,892.96 | Facility | None | $3,019.95 | $5,128.61 | $20,892.96 |
Medica Setting Professional Modifier None Typical Low $1,778.28 Median $2,344.23 Typical High $3,715.35 | Professional | None | $1,778.28 | $2,344.23 | $3,715.35 |
Midlands Setting Professional Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $10,000.00 | Professional | None | $5,128.61 | $5,128.61 | $10,000.00 |
Midlands Setting Facility Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $5,248.07 | Facility | None | $5,248.07 | $5,248.07 | $5,248.07 |
Midlands Setting Professional Modifier None Typical Low $6,456.54 Median $10,000.00 Typical High $12,882.50 | Professional | None | $6,456.54 | $10,000.00 | $12,882.50 |
United 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 |
United Setting Professional Modifier None Typical Low $1,698.24 Median $2,344.23 Typical High $3,019.95 | Professional | None | $1,698.24 | $2,344.23 | $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 $1,230.27 Median $1,513.56 Typical High $1,778.28 | Professional | 52 · Reduced service | $1,230.27 | $1,513.56 | $1,778.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $489.78 Median $602.56 Typical High $707.95 | Professional | 53 · Discontinued | $489.78 | $602.56 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $363.08 Median $446.68 Typical High $524.81 | Professional | 55 · Aftercare only | $363.08 | $446.68 | $524.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $245.47 Median $302.00 Typical High $354.81 | Professional | 56 · Pre-op care only | $245.47 | $302.00 | $354.81 |
Where Nebraska sits
The same service costs 2.4 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· 27th 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.