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 $3,162.28 Median $3,162.28 Typical High $3,162.28 | Facility | None | $3,162.28 | $3,162.28 | $3,162.28 |
Aetna Setting Professional Modifier None Typical Low $2,454.71 Median $3,162.28 Typical High $3,715.35 | Professional | None | $2,454.71 | $3,162.28 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $3,388.44 Median $5,495.41 Typical High $5,495.41 | Facility | None | $3,388.44 | $5,495.41 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $5,370.32 Median $5,495.41 Typical High $10,471.29 | Professional | None | $5,370.32 | $5,495.41 | $10,471.29 |
Medica Setting Facility Modifier None Typical Low $3,162.28 Median $5,370.32 Typical High $21,379.62 | Facility | None | $3,162.28 | $5,370.32 | $21,379.62 |
Medica Setting Professional Modifier None Typical Low $1,862.09 Median $2,454.71 Typical High $3,890.45 | Professional | None | $1,862.09 | $2,454.71 | $3,890.45 |
Midlands Setting Professional Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $10,471.29 | Professional | None | $5,370.32 | $5,370.32 | $10,471.29 |
Midlands Setting Facility Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $5,495.41 | Facility | None | $5,495.41 | $5,495.41 | $5,495.41 |
Midlands Setting Professional Modifier None Typical Low $6,918.31 Median $10,471.29 Typical High $13,489.63 | Professional | None | $6,918.31 | $10,471.29 | $13,489.63 |
United Setting Facility Modifier None Typical Low $2,398.83 Median $4,677.35 Typical High $4,677.35 | Facility | None | $2,398.83 | $4,677.35 | $4,677.35 |
United Setting Professional Modifier None Typical Low $1,778.28 Median $2,454.71 Typical High $3,162.28 | Professional | None | $1,778.28 | $2,454.71 | $3,162.28 |
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 $1,230.27 Median $1,584.89 Typical High $1,862.09 | Professional | 52 · Reduced service | $1,230.27 | $1,584.89 | $1,862.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $489.78 Median $630.96 Typical High $741.31 | Professional | 53 · Discontinued | $489.78 | $630.96 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $363.08 Median $478.63 Typical High $549.54 | Professional | 55 · Aftercare only | $363.08 | $478.63 | $549.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $245.47 Median $316.23 Typical High $371.54 | Professional | 56 · Pre-op care only | $245.47 | $316.23 | $371.54 |
Where Nebraska sits
The same service costs 2.1 times more in Montana than in South Carolina. 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· 22nd of 51
$3,162
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.