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 $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $512.86 Typical High $602.56 | Professional | None | $354.81 | $512.86 | $602.56 |
Ambetter Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $891.25 Typical High $891.25 | Facility | None | $380.19 | $891.25 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $870.96 Typical High $1,698.24 | Professional | None | $691.83 | $870.96 | $1,698.24 |
Medica Setting Facility Modifier None Typical Low $512.86 Median $870.96 Typical High $3,311.31 | Facility | None | $512.86 | $870.96 | $3,311.31 |
Medica Setting Professional Modifier None Typical Low $295.12 Median $398.11 Typical High $676.08 | Professional | None | $295.12 | $398.11 | $676.08 |
Midlands Setting Professional Modifier None Typical Low $870.96 Median $891.25 Typical High $1,698.24 | Professional | None | $870.96 | $891.25 | $1,698.24 |
Midlands Setting Professional Modifier None Typical Low $1,096.48 Median $1,698.24 Typical High $2,187.76 | Professional | None | $1,096.48 | $1,698.24 | $2,187.76 |
United Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
United Setting Professional Modifier None Typical Low $288.40 Median $398.11 Typical High $457.09 | Professional | None | $288.40 | $398.11 | $457.09 |
2 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 55 · Aftercare only Typical Low $51.29 Median $75.86 Typical High $89.13 | Professional | 55 · Aftercare only | $51.29 | $75.86 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $51.29 Typical High $60.26 | Professional | 56 · Pre-op care only | $33.88 | $51.29 | $60.26 |
Where Nebraska sits
The same service costs 3.7 times more in Alaska 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· 13th 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.