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 $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,412.54 Typical High $1,659.59 | Professional | None | $1,174.90 | $1,412.54 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $2,511.89 Typical High $2,511.89 | Facility | None | $1,230.27 | $2,511.89 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $2,238.72 Median $2,454.71 Typical High $4,677.35 | Professional | None | $2,238.72 | $2,454.71 | $4,677.35 |
Medica Setting Facility Modifier None Typical Low $1,412.54 Median $2,398.83 Typical High $10,232.93 | Facility | None | $1,412.54 | $2,398.83 | $10,232.93 |
Medica Setting Professional Modifier None Typical Low $851.14 Median $1,096.48 Typical High $1,737.80 | Professional | None | $851.14 | $1,096.48 | $1,737.80 |
Midlands Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $4,677.35 | Professional | None | $2,454.71 | $2,454.71 | $4,677.35 |
Midlands Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
Midlands Setting Professional Modifier None Typical Low $3,090.30 Median $4,677.35 Typical High $6,025.60 | Professional | None | $3,090.30 | $4,677.35 | $6,025.60 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $2,238.72 Typical High $2,238.72 | Facility | None | $1,071.52 | $2,238.72 | $2,238.72 |
United Setting Professional Modifier None Typical Low $794.33 Median $1,096.48 Typical High $1,479.11 | Professional | None | $794.33 | $1,096.48 | $1,479.11 |
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 $549.54 Median $707.95 Typical High $831.76 | Professional | 52 · Reduced service | $549.54 | $707.95 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $281.84 Typical High $331.13 | Professional | 53 · Discontinued | $218.78 | $281.84 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $213.80 Typical High $251.19 | Professional | 55 · Aftercare only | $165.96 | $213.80 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $141.25 Typical High $165.96 | Professional | 56 · Pre-op care only | $109.65 | $141.25 | $165.96 |
Where Nebraska sits
The same service costs 3.1 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
$1,479
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.