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 $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $275.42 Typical High $323.59 | Professional | None | $263.03 | $275.42 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $489.78 Typical High $489.78 | Facility | None | $269.15 | $489.78 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $501.19 Typical High $933.25 | Professional | None | $478.63 | $501.19 | $933.25 |
Medica Setting Facility Modifier None Typical Low $275.42 Median $478.63 Typical High $2,344.23 | Facility | None | $275.42 | $478.63 | $2,344.23 |
Medica Setting Professional Modifier None Typical Low $165.96 Median $218.78 Typical High $354.81 | Professional | None | $165.96 | $218.78 | $354.81 |
Midlands Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $933.25 | Professional | None | $478.63 | $478.63 | $933.25 |
Midlands Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Midlands Setting Professional Modifier None Typical Low $602.56 Median $933.25 Typical High $1,202.26 | Professional | None | $602.56 | $933.25 | $1,202.26 |
United Setting Facility Modifier None Typical Low $281.84 Median $501.19 Typical High $501.19 | Facility | None | $281.84 | $501.19 | $501.19 |
United Setting Professional Modifier None Typical Low $158.49 Median $218.78 Typical High $331.13 | Professional | None | $158.49 | $218.78 | $331.13 |
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 $123.03 Median $138.04 Typical High $162.18 | Professional | 52 · Reduced service | $123.03 | $138.04 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $56.23 Typical High $64.57 | Professional | 53 · Discontinued | $50.12 | $56.23 | $64.57 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $41.69 Typical High $48.98 | Professional | 55 · Aftercare only | $37.15 | $41.69 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $27.54 Typical High $32.36 | Professional | 56 · Pre-op care only | $24.55 | $27.54 | $32.36 |
Where Nebraska sits
The same service costs 3.3 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
$331
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.