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 $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $354.81 Typical High $416.87 | Professional | None | $302.00 | $354.81 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $630.96 Typical High $630.96 | Facility | None | $363.08 | $630.96 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $645.65 Typical High $1,174.90 | Professional | None | $616.60 | $645.65 | $1,174.90 |
Medica Setting Facility Modifier None Typical Low $354.81 Median $616.60 Typical High $2,630.27 | Facility | None | $354.81 | $616.60 | $2,630.27 |
Medica Setting Professional Modifier None Typical Low $213.80 Median $275.42 Typical High $436.52 | Professional | None | $213.80 | $275.42 | $436.52 |
Midlands Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $1,174.90 | Professional | None | $616.60 | $616.60 | $1,174.90 |
Midlands Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Midlands Setting Professional Modifier None Typical Low $776.25 Median $1,174.90 Typical High $1,513.56 | Professional | None | $776.25 | $1,174.90 | $1,513.56 |
United Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | None | $575.44 | $575.44 | $575.44 |
United Setting Professional Modifier None Typical Low $199.53 Median $275.42 Typical High $380.19 | Professional | None | $199.53 | $275.42 | $380.19 |
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 $151.36 Median $177.83 Typical High $208.93 | Professional | 52 · Reduced service | $151.36 | $177.83 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $70.79 Typical High $83.18 | Professional | 53 · Discontinued | $60.26 | $70.79 | $83.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $53.70 Typical High $63.10 | Professional | 55 · Aftercare only | $44.67 | $53.70 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $35.48 Typical High $41.69 | Professional | 56 · Pre-op care only | $30.20 | $35.48 | $41.69 |
Where Nebraska sits
The same service costs 2.2 times more in Montana 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· 20th of 51
$380
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.