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 $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,570.40 | $2,570.40 | $2,570.40 |
Aetna Setting Professional Modifier None Typical Low $2,187.76 Median $2,570.40 Typical High $3,019.95 | Professional | None | $2,187.76 | $2,570.40 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $4,570.88 Typical High $4,570.88 | Facility | None | $2,290.87 | $4,570.88 | $4,570.88 |
Cigna Setting Professional Modifier None Typical Low $4,466.84 Median $4,677.35 Typical High $8,511.38 | Professional | None | $4,466.84 | $4,677.35 | $8,511.38 |
Medica Setting Facility Modifier None Typical Low $2,570.40 Median $4,466.84 Typical High $19,054.61 | Facility | None | $2,570.40 | $4,466.84 | $19,054.61 |
Medica Setting Professional Modifier None Typical Low $1,548.82 Median $1,995.26 Typical High $3,162.28 | Professional | None | $1,548.82 | $1,995.26 | $3,162.28 |
Midlands Setting Professional Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $8,511.38 | Professional | None | $4,466.84 | $4,466.84 | $8,511.38 |
Midlands Setting Facility Modifier None Typical Low $4,570.88 Median $4,570.88 Typical High $4,570.88 | Facility | None | $4,570.88 | $4,570.88 | $4,570.88 |
Midlands Setting Professional Modifier None Typical Low $5,623.41 Median $8,511.38 Typical High $10,964.78 | Professional | None | $5,623.41 | $8,511.38 | $10,964.78 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $4,265.80 Typical High $4,265.80 | Facility | None | $1,995.26 | $4,265.80 | $4,265.80 |
United Setting Professional Modifier None Typical Low $1,445.44 Median $1,995.26 Typical High $2,818.38 | Professional | None | $1,445.44 | $1,995.26 | $2,818.38 |
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 $1,096.48 Median $1,288.25 Typical High $1,513.56 | Professional | 52 · Reduced service | $1,096.48 | $1,288.25 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $512.86 Typical High $602.56 | Professional | 53 · Discontinued | $436.52 | $512.86 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $331.13 Median $389.05 Typical High $457.09 | Professional | 55 · Aftercare only | $331.13 | $389.05 | $457.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $218.78 Median $257.04 Typical High $302.00 | Professional | 56 · Pre-op care only | $218.78 | $257.04 | $302.00 |
Where Nebraska sits
The same service costs 2.5 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· 19th of 51
$2,818
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.