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 $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $549.54 Typical High $645.65 | Professional | None | $478.63 | $549.54 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $977.24 | Facility | None | $588.84 | $977.24 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,023.29 Typical High $1,819.70 | Professional | None | $954.99 | $1,023.29 | $1,819.70 |
Medica Setting Facility Modifier None Typical Low $549.54 Median $954.99 Typical High $4,073.80 | Facility | None | $549.54 | $954.99 | $4,073.80 |
Medica Setting Professional Modifier None Typical Low $331.13 Median $426.58 Typical High $707.95 | Professional | None | $331.13 | $426.58 | $707.95 |
Midlands Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,819.70 | Professional | None | $954.99 | $954.99 | $1,819.70 |
Midlands Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
Midlands Setting Professional Modifier None Typical Low $1,202.26 Median $1,819.70 Typical High $2,398.83 | Professional | None | $1,202.26 | $1,819.70 | $2,398.83 |
United Setting Facility Modifier None Typical Low $181.97 Median $912.01 Typical High $912.01 | Facility | None | $181.97 | $912.01 | $912.01 |
United Setting Professional Modifier None Typical Low $316.23 Median $426.58 Typical High $602.56 | Professional | None | $316.23 | $426.58 | $602.56 |
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 $239.88 Median $275.42 Typical High $323.59 | Professional | 52 · Reduced service | $239.88 | $275.42 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $109.65 Typical High $128.82 | Professional | 53 · Discontinued | $95.50 | $109.65 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $83.18 Typical High $97.72 | Professional | 55 · Aftercare only | $70.79 | $83.18 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $54.95 Typical High $64.57 | Professional | 56 · Pre-op care only | $47.86 | $54.95 | $64.57 |
Where Nebraska sits
The same service costs 2.5 times more in Montana than in Alabama. 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· 15th of 51
$603
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.