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 $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,548.82 Typical High $1,819.70 | Professional | None | $1,288.25 | $1,548.82 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $2,691.53 Typical High $2,691.53 | Facility | None | $1,348.96 | $2,691.53 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $2,630.27 Median $2,818.38 Typical High $5,128.61 | Professional | None | $2,630.27 | $2,818.38 | $5,128.61 |
Medica Setting Facility Modifier None Typical Low $1,513.56 Median $2,630.27 Typical High $11,220.18 | Facility | None | $1,513.56 | $2,630.27 | $11,220.18 |
Medica Setting Professional Modifier None Typical Low $912.01 Median $1,202.26 Typical High $1,862.09 | Professional | None | $912.01 | $1,202.26 | $1,862.09 |
Midlands Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $5,128.61 | Professional | None | $2,630.27 | $2,630.27 | $5,128.61 |
Midlands Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,691.53 | $2,691.53 | $2,691.53 |
Midlands Setting Professional Modifier None Typical Low $3,311.31 Median $5,128.61 Typical High $6,606.93 | Professional | None | $3,311.31 | $5,128.61 | $6,606.93 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,202.26 Typical High $1,659.59 | Professional | None | $870.96 | $1,202.26 | $1,659.59 |
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 $645.65 Median $776.25 Typical High $891.25 | Professional | 52 · Reduced service | $645.65 | $776.25 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $309.03 Typical High $363.08 | Professional | 53 · Discontinued | $257.04 | $309.03 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $229.09 Typical High $269.15 | Professional | 55 · Aftercare only | $194.98 | $229.09 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $154.88 Typical High $181.97 | Professional | 56 · Pre-op care only | $128.82 | $154.88 | $181.97 |
Where Nebraska sits
The same service costs 2.6 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
$1,660
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.