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 $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $407.38 Typical High $478.63 | Professional | None | $354.81 | $407.38 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $707.95 Typical High $707.95 | Facility | None | $398.11 | $707.95 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $776.25 Typical High $1,348.96 | Professional | None | $691.83 | $776.25 | $1,348.96 |
Medica Setting Facility Modifier None Typical Low $407.38 Median $691.83 Typical High $3,162.28 | Facility | None | $407.38 | $691.83 | $3,162.28 |
Medica Setting Professional Modifier None Typical Low $239.88 Median $316.23 Typical High $501.19 | Professional | None | $239.88 | $316.23 | $501.19 |
Midlands Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $1,348.96 | Professional | None | $691.83 | $691.83 | $1,348.96 |
Midlands Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Midlands Setting Professional Modifier None Typical Low $891.25 Median $1,348.96 Typical High $1,737.80 | Professional | None | $891.25 | $1,348.96 | $1,737.80 |
United Setting Facility Modifier None Typical Low $398.11 Median $691.83 Typical High $691.83 | Facility | None | $398.11 | $691.83 | $691.83 |
United Setting Professional Modifier None Typical Low $229.09 Median $316.23 Typical High $457.09 | Professional | None | $229.09 | $316.23 | $457.09 |
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 $177.83 Median $204.17 Typical High $239.88 | Professional | 52 · Reduced service | $177.83 | $204.17 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $81.28 Typical High $95.50 | Professional | 53 · Discontinued | $70.79 | $81.28 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $61.66 Typical High $72.44 | Professional | 55 · Aftercare only | $53.70 | $61.66 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $40.74 Typical High $47.86 | Professional | 56 · Pre-op care only | $35.48 | $40.74 | $47.86 |
Where Nebraska sits
The same service costs 3.7 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· 17th of 51
$457
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.