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 $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,513.56 Typical High $1,778.28 | Professional | None | $1,258.93 | $1,513.56 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $1,621.81 Median $2,630.27 Typical High $2,630.27 | Facility | None | $1,621.81 | $2,630.27 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $2,570.40 Median $2,884.03 Typical High $5,011.87 | Professional | None | $2,570.40 | $2,884.03 | $5,011.87 |
Medica Setting Facility Modifier None Typical Low $1,513.56 Median $2,570.40 Typical High $11,220.18 | Facility | None | $1,513.56 | $2,570.40 | $11,220.18 |
Medica Setting Professional Modifier None Typical Low $891.25 Median $1,174.90 Typical High $1,862.09 | Professional | None | $891.25 | $1,174.90 | $1,862.09 |
Midlands Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $5,011.87 | Professional | None | $2,570.40 | $2,570.40 | $5,011.87 |
Midlands Setting Facility Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Facility | None | $2,630.27 | $2,630.27 | $2,630.27 |
Midlands Setting Professional Modifier None Typical Low $3,311.31 Median $5,011.87 Typical High $6,456.54 | Professional | None | $3,311.31 | $5,011.87 | $6,456.54 |
United Setting Facility Modifier None Typical Low $776.25 Median $2,398.83 Typical High $2,398.83 | Facility | None | $776.25 | $2,398.83 | $2,398.83 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,174.90 Typical High $1,621.81 | Professional | None | $851.14 | $1,174.90 | $1,621.81 |
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 $630.96 Median $758.58 Typical High $891.25 | Professional | 52 · Reduced service | $630.96 | $758.58 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $302.00 Typical High $354.81 | Professional | 53 · Discontinued | $251.19 | $302.00 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $229.09 Typical High $263.03 | Professional | 55 · Aftercare only | $186.21 | $229.09 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $151.36 Typical High $177.83 | Professional | 56 · Pre-op care only | $125.89 | $151.36 | $177.83 |
Where Nebraska sits
The same service costs 2.7 times more in Hawaii than in Pennsylvania. 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· 20th of 51
$1,622
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.