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 $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier None Typical Low $1,659.59 Median $1,949.84 Typical High $2,290.87 | Professional | None | $1,659.59 | $1,949.84 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $2,041.74 Median $3,388.44 Typical High $3,388.44 | Facility | None | $2,041.74 | $3,388.44 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $3,311.31 Median $3,388.44 Typical High $6,456.54 | Professional | None | $3,311.31 | $3,388.44 | $6,456.54 |
Medica Setting Facility Modifier None Typical Low $1,949.84 Median $3,311.31 Typical High $15,135.61 | Facility | None | $1,949.84 | $3,311.31 | $15,135.61 |
Medica Setting Professional Modifier None Typical Low $1,148.15 Median $1,513.56 Typical High $2,398.83 | Professional | None | $1,148.15 | $1,513.56 | $2,398.83 |
Midlands Setting Professional Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $6,456.54 | Professional | None | $3,311.31 | $3,311.31 | $6,456.54 |
Midlands Setting Facility Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Facility | None | $3,388.44 | $3,388.44 | $3,388.44 |
Midlands Setting Professional Modifier None Typical Low $4,168.69 Median $6,456.54 Typical High $8,317.64 | Professional | None | $4,168.69 | $6,456.54 | $8,317.64 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $3,311.31 Typical High $3,311.31 | Facility | None | $1,905.46 | $3,311.31 | $3,311.31 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $2,187.76 | Professional | None | $1,096.48 | $1,513.56 | $2,187.76 |
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 $831.76 Median $977.24 Typical High $1,148.15 | Professional | 52 · Reduced service | $831.76 | $977.24 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $331.13 Median $389.05 Typical High $457.09 | Professional | 53 · Discontinued | $331.13 | $389.05 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $295.12 Typical High $338.84 | Professional | 55 · Aftercare only | $251.19 | $295.12 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $165.96 Median $194.98 Typical High $229.09 | Professional | 56 · Pre-op care only | $165.96 | $194.98 | $229.09 |
Where Nebraska sits
The same service costs 3.1 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· 17th of 51
$2,188
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.