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 $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $331.13 Typical High $389.05 | Professional | None | $302.00 | $331.13 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $588.84 Typical High $588.84 | Facility | None | $363.08 | $588.84 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $602.56 Typical High $1,096.48 | Professional | None | $575.44 | $602.56 | $1,096.48 |
Medica Setting Facility Modifier None Typical Low $331.13 Median $575.44 Typical High $2,754.23 | Facility | None | $331.13 | $575.44 | $2,754.23 |
Medica Setting Professional Modifier None Typical Low $199.53 Median $263.03 Typical High $407.38 | Professional | None | $199.53 | $263.03 | $407.38 |
Midlands Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $1,096.48 | Professional | None | $575.44 | $575.44 | $1,096.48 |
Midlands Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Midlands Setting Professional Modifier None Typical Low $724.44 Median $1,096.48 Typical High $1,445.44 | Professional | None | $724.44 | $1,096.48 | $1,445.44 |
United Setting Facility Modifier None Typical Low $346.74 Median $602.56 Typical High $602.56 | Facility | None | $346.74 | $602.56 | $602.56 |
United Setting Professional Modifier None Typical Low $190.55 Median $263.03 Typical High $398.11 | Professional | None | $190.55 | $263.03 | $398.11 |
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 $147.91 Median $165.96 Typical High $194.98 | Professional | 52 · Reduced service | $147.91 | $165.96 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $66.07 Typical High $77.62 | Professional | 53 · Discontinued | $60.26 | $66.07 | $77.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $50.12 Typical High $58.88 | Professional | 55 · Aftercare only | $44.67 | $50.12 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $33.11 Typical High $38.90 | Professional | 56 · Pre-op care only | $30.20 | $33.11 | $38.90 |
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· 19th of 51
$398
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.