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 $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $1,949.84 Median $1,995.26 Typical High $2,344.23 | Professional | None | $1,949.84 | $1,995.26 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $3,548.13 Typical High $3,548.13 | Facility | None | $1,778.28 | $3,548.13 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $3,467.37 Median $3,890.45 Typical High $6,606.93 | Professional | None | $3,467.37 | $3,890.45 | $6,606.93 |
Medica Setting Facility Modifier None Typical Low $1,995.26 Median $3,388.44 Typical High $14,791.08 | Facility | None | $1,995.26 | $3,388.44 | $14,791.08 |
Medica Setting Professional Modifier None Typical Low $1,202.26 Median $1,548.82 Typical High $2,454.71 | Professional | None | $1,202.26 | $1,548.82 | $2,454.71 |
Midlands Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $6,606.93 | Professional | None | $3,467.37 | $3,467.37 | $6,606.93 |
Midlands Setting Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Facility | None | $3,548.13 | $3,548.13 | $3,548.13 |
Midlands Setting Professional Modifier None Typical Low $4,365.16 Median $6,606.93 Typical High $8,511.38 | Professional | None | $4,365.16 | $6,606.93 | $8,511.38 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $3,235.94 Typical High $3,235.94 | Facility | None | $1,230.27 | $3,235.94 | $3,235.94 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,548.82 Typical High $2,187.76 | Professional | None | $1,122.02 | $1,548.82 | $2,187.76 |
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 $851.14 Median $1,000.00 Typical High $1,174.90 | Professional | 52 · Reduced service | $851.14 | $1,000.00 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $398.11 Typical High $467.74 | Professional | 53 · Discontinued | $338.84 | $398.11 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $302.00 Typical High $354.81 | Professional | 55 · Aftercare only | $257.04 | $302.00 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $199.53 Typical High $234.42 | Professional | 56 · Pre-op care only | $169.82 | $199.53 | $234.42 |
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· 18th of 51
$2,188
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.