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 $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $2,137.96 Typical High $2,511.89 | Professional | None | $1,479.11 | $2,137.96 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $3,715.35 Typical High $3,715.35 | Facility | None | $1,548.82 | $3,715.35 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $3,548.13 Median $3,630.78 Typical High $7,079.46 | Professional | None | $3,548.13 | $3,630.78 | $7,079.46 |
Medica Setting Facility Modifier None Typical Low $2,089.30 Median $3,630.78 Typical High $13,489.63 | Facility | None | $2,089.30 | $3,630.78 | $13,489.63 |
Medica Setting Professional Modifier None Typical Low $1,230.27 Median $1,659.59 Typical High $2,570.40 | Professional | None | $1,230.27 | $1,659.59 | $2,570.40 |
Midlands Setting Professional Modifier None Typical Low $3,630.78 Median $3,715.35 Typical High $7,079.46 | Professional | None | $3,630.78 | $3,715.35 | $7,079.46 |
Midlands Setting Professional Modifier None Typical Low $4,570.88 Median $7,079.46 Typical High $9,120.11 | Professional | None | $4,570.88 | $7,079.46 | $9,120.11 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $2,884.03 Typical High $2,884.03 | Facility | None | $1,479.11 | $2,884.03 | $2,884.03 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,659.59 Typical High $1,905.46 | Professional | None | $1,202.26 | $1,659.59 | $1,905.46 |
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 $741.31 Median $1,071.52 Typical High $1,230.27 | Professional | 52 · Reduced service | $741.31 | $1,071.52 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $426.58 Typical High $501.19 | Professional | 53 · Discontinued | $295.12 | $426.58 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $316.23 Typical High $371.54 | Professional | 55 · Aftercare only | $223.87 | $316.23 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $213.80 Typical High $251.19 | Professional | 56 · Pre-op care only | $147.91 | $213.80 | $251.19 |
Where Nebraska sits
The same service costs 3.0 times more in Iowa 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· 17th of 51
$2,138
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.