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 $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
Aetna Setting Professional Modifier None Typical Low $2,398.83 Median $2,884.03 Typical High $3,311.31 | Professional | None | $2,398.83 | $2,884.03 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $2,511.89 Median $5,011.87 Typical High $5,011.87 | Facility | None | $2,511.89 | $5,011.87 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $4,897.79 Median $5,248.07 Typical High $9,549.93 | Professional | None | $4,897.79 | $5,248.07 | $9,549.93 |
Medica Setting Facility Modifier None Typical Low $2,818.38 Median $4,897.79 Typical High $20,892.96 | Facility | None | $2,818.38 | $4,897.79 | $20,892.96 |
Medica Setting Professional Modifier None Typical Low $1,698.24 Median $2,238.72 Typical High $3,467.37 | Professional | None | $1,698.24 | $2,238.72 | $3,467.37 |
Midlands Setting Professional Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $9,549.93 | Professional | None | $4,897.79 | $4,897.79 | $9,549.93 |
Midlands Setting Facility Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Facility | None | $5,011.87 | $5,011.87 | $5,011.87 |
Midlands Setting Professional Modifier None Typical Low $6,165.95 Median $9,549.93 Typical High $12,302.69 | Professional | None | $6,165.95 | $9,549.93 | $12,302.69 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $4,677.35 Typical High $4,677.35 | Facility | None | $2,187.76 | $4,677.35 | $4,677.35 |
United Setting Professional Modifier None Typical Low $1,621.81 Median $2,238.72 Typical High $3,090.30 | Professional | None | $1,621.81 | $2,238.72 | $3,090.30 |
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 $1,202.26 Median $1,412.54 Typical High $1,659.59 | Professional | 52 · Reduced service | $1,202.26 | $1,412.54 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $478.63 Median $575.44 Typical High $676.08 | Professional | 53 · Discontinued | $478.63 | $575.44 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $363.08 Median $426.58 Typical High $501.19 | Professional | 55 · Aftercare only | $363.08 | $426.58 | $501.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $239.88 Median $288.40 Typical High $331.13 | Professional | 56 · Pre-op care only | $239.88 | $288.40 | $331.13 |
Where Nebraska sits
The same service costs 2.6 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· 21st of 51
$3,090
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.