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 $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $125.89 Typical High $147.91 | Professional | None | $117.49 | $125.89 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $218.78 Typical High $218.78 | Facility | None | $123.03 | $218.78 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $229.09 Typical High $416.87 | Professional | None | $213.80 | $229.09 | $416.87 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $213.80 Typical High $1,047.13 | Facility | None | $125.89 | $213.80 | $1,047.13 |
Medica Setting Professional Modifier None Typical Low $74.13 Median $97.72 Typical High $158.49 | Professional | None | $74.13 | $97.72 | $158.49 |
Midlands Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $416.87 | Professional | None | $213.80 | $213.80 | $416.87 |
Midlands Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Midlands Setting Professional Modifier None Typical Low $269.15 Median $416.87 Typical High $537.03 | Professional | None | $269.15 | $416.87 | $537.03 |
United Setting Facility Modifier None Typical Low $107.15 Median $223.87 Typical High $223.87 | Facility | None | $107.15 | $223.87 | $223.87 |
United Setting Professional Modifier None Typical Low $70.79 Median $97.72 Typical High $151.36 | Professional | None | $70.79 | $97.72 | $151.36 |
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 $57.54 Median $63.10 Typical High $74.13 | Professional | 52 · Reduced service | $57.54 | $63.10 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $25.12 Typical High $29.51 | Professional | 53 · Discontinued | $22.91 | $25.12 | $29.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $18.62 Typical High $21.88 | Professional | 55 · Aftercare only | $16.98 | $18.62 | $21.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $12.59 Typical High $14.79 | Professional | 56 · Pre-op care only | $11.48 | $12.59 | $14.79 |
Where Nebraska sits
The same service costs 3.0 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
$151
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.