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 $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,348.96 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,348.96 Typical High $1,584.89 | Professional | None | $1,047.13 | $1,348.96 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $2,344.23 Typical High $2,344.23 | Facility | None | $1,230.27 | $2,344.23 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $2,187.76 Median $2,290.87 Typical High $4,466.84 | Professional | None | $2,187.76 | $2,290.87 | $4,466.84 |
Medica Setting Facility Modifier None Typical Low $1,348.96 Median $2,290.87 Typical High $9,332.54 | Facility | None | $1,348.96 | $2,290.87 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $794.33 Median $1,047.13 Typical High $1,659.59 | Professional | None | $794.33 | $1,047.13 | $1,659.59 |
Midlands Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $4,466.84 | Professional | None | $2,290.87 | $2,290.87 | $4,466.84 |
Midlands Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Facility | None | $2,344.23 | $2,344.23 | $2,344.23 |
Midlands Setting Professional Modifier None Typical Low $2,951.21 Median $4,466.84 Typical High $5,754.40 | Professional | None | $2,951.21 | $4,466.84 | $5,754.40 |
United Setting Facility Modifier None Typical Low $977.24 Median $1,995.26 Typical High $1,995.26 | Facility | None | $977.24 | $1,995.26 | $1,995.26 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,047.13 Typical High $1,318.26 | Professional | None | $758.58 | $1,047.13 | $1,318.26 |
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 $512.86 Median $676.08 Typical High $794.33 | Professional | 52 · Reduced service | $512.86 | $676.08 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $269.15 Typical High $316.23 | Professional | 53 · Discontinued | $208.93 | $269.15 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $204.17 Typical High $234.42 | Professional | 55 · Aftercare only | $154.88 | $204.17 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $134.90 Typical High $158.49 | Professional | 56 · Pre-op care only | $104.71 | $134.90 | $158.49 |
Where Nebraska sits
The same service costs 2.8 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· 18th of 51
$1,349
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.