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 $4,466.84 Median $4,466.84 Typical High $4,466.84 | Facility | None | $4,466.84 | $4,466.84 | $4,466.84 |
Aetna Setting Professional Modifier None Typical Low $3,162.28 Median $4,466.84 Typical High $5,248.07 | Professional | None | $3,162.28 | $4,466.84 | $5,248.07 |
Cigna Setting Facility Modifier None Typical Low $3,715.35 Median $7,762.47 Typical High $7,762.47 | Facility | None | $3,715.35 | $7,762.47 | $7,762.47 |
Cigna Setting Professional Modifier None Typical Low $6,760.83 Median $7,585.78 Typical High $14,791.08 | Professional | None | $6,760.83 | $7,585.78 | $14,791.08 |
Medica Setting Facility Modifier None Typical Low $4,466.84 Median $7,585.78 Typical High $27,542.29 | Facility | None | $4,466.84 | $7,585.78 | $27,542.29 |
Medica Setting Professional Modifier None Typical Low $2,630.27 Median $3,467.37 Typical High $5,370.32 | Professional | None | $2,630.27 | $3,467.37 | $5,370.32 |
Midlands Setting Professional Modifier None Typical Low $7,585.78 Median $7,585.78 Typical High $14,791.08 | Professional | None | $7,585.78 | $7,585.78 | $14,791.08 |
Midlands Setting Facility Modifier None Typical Low $7,762.47 Median $7,762.47 Typical High $7,762.47 | Facility | None | $7,762.47 | $7,762.47 | $7,762.47 |
Midlands Setting Professional Modifier None Typical Low $9,549.93 Median $14,791.08 Typical High $19,054.61 | Professional | None | $9,549.93 | $14,791.08 | $19,054.61 |
United Setting Facility Modifier None Typical Low $3,467.37 Median $6,025.60 Typical High $6,025.60 | Facility | None | $3,467.37 | $6,025.60 | $6,025.60 |
United Setting Professional Modifier None Typical Low $2,511.89 Median $3,467.37 Typical High $3,981.07 | Professional | None | $2,511.89 | $3,467.37 | $3,981.07 |
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 $1,548.82 Median $2,238.72 Typical High $2,570.40 | Professional | 52 · Reduced service | $1,548.82 | $2,238.72 | $2,570.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $630.96 Median $891.25 Typical High $1,047.13 | Professional | 53 · Discontinued | $630.96 | $891.25 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $467.74 Median $660.69 Typical High $776.25 | Professional | 55 · Aftercare only | $467.74 | $660.69 | $776.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $316.23 Median $446.68 Typical High $524.81 | Professional | 56 · Pre-op care only | $316.23 | $446.68 | $524.81 |
Where Nebraska sits
The same service costs 2.9 times more in Hawaii than in Pennsylvania. 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
$4,467
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.