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 $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $389.05 Typical High $457.09 | Professional | None | $346.74 | $389.05 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $676.08 Typical High $676.08 | Facility | None | $501.19 | $676.08 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $758.58 Typical High $1,288.25 | Professional | None | $660.69 | $758.58 | $1,288.25 |
Medica Setting Facility Modifier None Typical Low $389.05 Median $660.69 Typical High $3,090.30 | Facility | None | $389.05 | $660.69 | $3,090.30 |
Medica Setting Professional Modifier None Typical Low $229.09 Median $302.00 Typical High $478.63 | Professional | None | $229.09 | $302.00 | $478.63 |
Midlands Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $1,288.25 | Professional | None | $660.69 | $660.69 | $1,288.25 |
Midlands Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
Midlands Setting Professional Modifier None Typical Low $851.14 Median $1,288.25 Typical High $1,659.59 | Professional | None | $851.14 | $1,288.25 | $1,659.59 |
United Setting Facility Modifier None Typical Low $229.09 Median $676.08 Typical High $676.08 | Facility | None | $229.09 | $676.08 | $676.08 |
United Setting Professional Modifier None Typical Low $218.78 Median $302.00 Typical High $446.68 | Professional | None | $218.78 | $302.00 | $446.68 |
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 $173.78 Median $194.98 Typical High $229.09 | Professional | 52 · Reduced service | $173.78 | $194.98 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $77.62 Typical High $91.20 | Professional | 53 · Discontinued | $69.18 | $77.62 | $91.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $58.88 Typical High $67.61 | Professional | 55 · Aftercare only | $52.48 | $58.88 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $38.90 Typical High $45.71 | Professional | 56 · Pre-op care only | $34.67 | $38.90 | $45.71 |
Where Nebraska sits
The same service costs 2.3 times more in Wisconsin than in Florida. 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
$447
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.