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 $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,819.70 Typical High $2,137.96 | Professional | None | $1,380.38 | $1,819.70 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $1,949.84 Median $3,162.28 Typical High $3,162.28 | Facility | None | $1,949.84 | $3,162.28 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $3,090.30 Median $3,467.37 Typical High $6,025.60 | Professional | None | $3,090.30 | $3,467.37 | $6,025.60 |
Medica Setting Facility Modifier None Typical Low $1,819.70 Median $3,090.30 Typical High $12,022.64 | Facility | None | $1,819.70 | $3,090.30 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $1,071.52 Median $1,412.54 Typical High $2,187.76 | Professional | None | $1,071.52 | $1,412.54 | $2,187.76 |
Midlands Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $6,025.60 | Professional | None | $3,090.30 | $3,090.30 | $6,025.60 |
Midlands Setting Facility Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Facility | None | $3,162.28 | $3,162.28 | $3,162.28 |
Midlands Setting Professional Modifier None Typical Low $3,890.45 Median $6,025.60 Typical High $7,762.47 | Professional | None | $3,890.45 | $6,025.60 | $7,762.47 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $2,691.53 Typical High $2,691.53 | Facility | None | $1,096.48 | $2,691.53 | $2,691.53 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,412.54 Typical High $1,778.28 | Professional | None | $1,023.29 | $1,412.54 | $1,778.28 |
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 $691.83 Median $912.01 Typical High $1,071.52 | Professional | 52 · Reduced service | $691.83 | $912.01 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $363.08 Typical High $426.58 | Professional | 53 · Discontinued | $275.42 | $363.08 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $269.15 Typical High $316.23 | Professional | 55 · Aftercare only | $208.93 | $269.15 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $181.97 Typical High $213.80 | Professional | 56 · Pre-op care only | $138.04 | $181.97 | $213.80 |
Where Nebraska sits
The same service costs 2.4 times more in Minnesota than in Washington, DC. 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· 18th of 51
$1,820
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.