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 $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,584.89 Typical High $1,862.09 | Professional | None | $1,380.38 | $1,584.89 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $2,818.38 Typical High $2,818.38 | Facility | None | $1,659.59 | $2,818.38 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $5,248.07 | Professional | None | $2,754.23 | $2,754.23 | $5,248.07 |
Medica Setting Facility Modifier None Typical Low $1,584.89 Median $2,754.23 Typical High $12,022.64 | Facility | None | $1,584.89 | $2,754.23 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $954.99 Median $1,230.27 Typical High $1,949.84 | Professional | None | $954.99 | $1,230.27 | $1,949.84 |
Midlands Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $5,248.07 | Professional | None | $2,754.23 | $2,754.23 | $5,248.07 |
Midlands Setting Facility Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Facility | None | $2,818.38 | $2,818.38 | $2,818.38 |
Midlands Setting Professional Modifier None Typical Low $3,467.37 Median $5,248.07 Typical High $6,760.83 | Professional | None | $3,467.37 | $5,248.07 | $6,760.83 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $2,630.27 Typical High $2,630.27 | Facility | None | $1,202.26 | $2,630.27 | $2,630.27 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,230.27 Typical High $1,737.80 | Professional | None | $891.25 | $1,230.27 | $1,737.80 |
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 $676.08 Median $794.33 Typical High $933.25 | Professional | 52 · Reduced service | $676.08 | $794.33 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $316.23 Typical High $371.54 | Professional | 53 · Discontinued | $275.42 | $316.23 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $239.88 Typical High $281.84 | Professional | 55 · Aftercare only | $204.17 | $239.88 | $281.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $158.49 Typical High $186.21 | Professional | 56 · Pre-op care only | $138.04 | $158.49 | $186.21 |
Where Nebraska sits
The same service costs 3.5 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· 18th of 51
$1,738
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.