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 $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $446.68 Typical High $524.81 | Professional | None | $323.59 | $446.68 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $776.25 Typical High $776.25 | Facility | None | $398.11 | $776.25 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $776.25 Typical High $1,479.11 | Professional | None | $758.58 | $776.25 | $1,479.11 |
Medica Setting Facility Modifier None Typical Low $436.52 Median $758.58 Typical High $2,818.38 | Facility | None | $436.52 | $758.58 | $2,818.38 |
Medica Setting Professional Modifier None Typical Low $263.03 Median $346.74 Typical High $537.03 | Professional | None | $263.03 | $346.74 | $537.03 |
Midlands Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,479.11 | Professional | None | $758.58 | $758.58 | $1,479.11 |
Midlands Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Midlands Setting Professional Modifier None Typical Low $954.99 Median $1,479.11 Typical High $1,905.46 | Professional | None | $954.99 | $1,479.11 | $1,905.46 |
United Setting Facility Modifier None Typical Low $281.84 Median $616.60 Typical High $616.60 | Facility | None | $281.84 | $616.60 | $616.60 |
United Setting Professional Modifier None Typical Low $251.19 Median $346.74 Typical High $416.87 | Professional | None | $251.19 | $346.74 | $416.87 |
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 $162.18 Median $223.87 Typical High $257.04 | Professional | 52 · Reduced service | $162.18 | $223.87 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $89.13 Typical High $104.71 | Professional | 53 · Discontinued | $64.57 | $89.13 | $104.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $66.07 Typical High $77.62 | Professional | 55 · Aftercare only | $48.98 | $66.07 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $44.67 Typical High $52.48 | Professional | 56 · Pre-op care only | $32.36 | $44.67 | $52.48 |
Where Nebraska sits
The same service costs 2.6 times more in Hawaii than in Washington, DC. 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
$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.