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 $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
Aetna Setting Professional Modifier None Typical Low $1,905.46 Median $2,137.96 Typical High $2,511.89 | Professional | None | $1,905.46 | $2,137.96 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $3,715.35 Typical High $3,715.35 | Facility | None | $2,454.71 | $3,715.35 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $3,630.78 Median $4,168.69 Typical High $7,079.46 | Professional | None | $3,630.78 | $4,168.69 | $7,079.46 |
Medica Setting Facility Modifier None Typical Low $2,137.96 Median $3,630.78 Typical High $16,982.44 | Facility | None | $2,137.96 | $3,630.78 | $16,982.44 |
Medica Setting Professional Modifier None Typical Low $1,288.25 Median $1,659.59 Typical High $2,630.27 | Professional | None | $1,288.25 | $1,659.59 | $2,630.27 |
Midlands Setting Professional Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $7,079.46 | Professional | None | $3,630.78 | $3,630.78 | $7,079.46 |
Midlands Setting Facility Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Facility | None | $3,715.35 | $3,715.35 | $3,715.35 |
Midlands Setting Professional Modifier None Typical Low $4,677.35 Median $7,079.46 Typical High $9,120.11 | Professional | None | $4,677.35 | $7,079.46 | $9,120.11 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $3,715.35 Typical High $3,715.35 | Facility | None | $1,698.24 | $3,715.35 | $3,715.35 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,659.59 Typical High $2,454.71 | Professional | None | $1,202.26 | $1,659.59 | $2,454.71 |
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 $954.99 Median $1,071.52 Typical High $1,258.93 | Professional | 52 · Reduced service | $954.99 | $1,071.52 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $380.19 Median $426.58 Typical High $501.19 | Professional | 53 · Discontinued | $380.19 | $426.58 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $323.59 Typical High $380.19 | Professional | 55 · Aftercare only | $288.40 | $323.59 | $380.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $190.55 Median $213.80 Typical High $251.19 | Professional | 56 · Pre-op care only | $190.55 | $213.80 | $251.19 |
Where Nebraska sits
The same service costs 2.4 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· 20th of 51
$2,455
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.