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 $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $1,288.25 Typical High $1,513.56 | Professional | None | $933.25 | $1,288.25 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $2,290.87 Typical High $2,290.87 | Facility | None | $954.99 | $2,290.87 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $2,238.72 Typical High $4,265.80 | Professional | None | $2,041.74 | $2,238.72 | $4,265.80 |
Medica Setting Facility Modifier None Typical Low $1,288.25 Median $2,187.76 Typical High $8,317.64 | Facility | None | $1,288.25 | $2,187.76 | $8,317.64 |
Medica Setting Professional Modifier None Typical Low $776.25 Median $1,000.00 Typical High $1,584.89 | Professional | None | $776.25 | $1,000.00 | $1,584.89 |
Midlands Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $4,265.80 | Professional | None | $2,238.72 | $2,238.72 | $4,265.80 |
Midlands Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | None | $2,290.87 | $2,290.87 | $2,290.87 |
Midlands Setting Professional Modifier None Typical Low $2,818.38 Median $4,265.80 Typical High $5,495.41 | Professional | None | $2,818.38 | $4,265.80 | $5,495.41 |
United Setting Facility Modifier None Typical Low $173.78 Median $1,778.28 Typical High $1,778.28 | Facility | None | $173.78 | $1,778.28 | $1,778.28 |
United Setting Professional Modifier None Typical Low $724.44 Median $1,000.00 Typical High $1,174.90 | Professional | None | $724.44 | $1,000.00 | $1,174.90 |
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 $467.74 Median $645.65 Typical High $758.58 | Professional | 52 · Reduced service | $467.74 | $645.65 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $257.04 Typical High $302.00 | Professional | 53 · Discontinued | $186.21 | $257.04 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $194.98 Typical High $229.09 | Professional | 55 · Aftercare only | $138.04 | $194.98 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $128.82 Typical High $151.36 | Professional | 56 · Pre-op care only | $93.33 | $128.82 | $151.36 |
Where Nebraska sits
The same service costs 3.2 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· 19th of 51
$1,288
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.