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 $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $602.56 Typical High $707.95 | Professional | None | $426.58 | $602.56 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $1,047.13 Typical High $1,047.13 | Facility | None | $446.68 | $1,047.13 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $1,023.29 Typical High $1,995.26 | Professional | None | $812.83 | $1,023.29 | $1,995.26 |
Medica Setting Facility Modifier None Typical Low $602.56 Median $1,023.29 Typical High $3,715.35 | Facility | None | $602.56 | $1,023.29 | $3,715.35 |
Medica Setting Professional Modifier None Typical Low $354.81 Median $467.74 Typical High $741.31 | Professional | None | $354.81 | $467.74 | $741.31 |
Midlands Setting Professional Modifier None Typical Low $1,023.29 Median $1,047.13 Typical High $1,995.26 | Professional | None | $1,023.29 | $1,047.13 | $1,995.26 |
Midlands Setting Professional Modifier None Typical Low $1,318.26 Median $1,995.26 Typical High $2,570.40 | Professional | None | $1,318.26 | $1,995.26 | $2,570.40 |
United Setting Facility Modifier None Typical Low $467.74 Median $812.83 Typical High $812.83 | Facility | None | $467.74 | $812.83 | $812.83 |
United Setting Professional Modifier None Typical Low $338.84 Median $467.74 Typical High $537.03 | Professional | None | $338.84 | $467.74 | $537.03 |
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 $199.53 Median $302.00 Typical High $354.81 | Professional | 52 · Reduced service | $199.53 | $302.00 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $120.23 Typical High $141.25 | Professional | 53 · Discontinued | $81.28 | $120.23 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $91.20 Typical High $104.71 | Professional | 55 · Aftercare only | $60.26 | $91.20 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $60.26 Typical High $70.79 | Professional | 56 · Pre-op care only | $39.81 | $60.26 | $70.79 |
Where Nebraska sits
The same service costs 2.8 times more in Iowa 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· 15th of 51
$603
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.