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 $2,187.76 Median $2,187.76 Typical High $2,187.76 | Facility | None | $2,187.76 | $2,187.76 | $2,187.76 |
Aetna Setting Professional Modifier None Typical Low $1,698.24 Median $2,187.76 Typical High $2,570.40 | Professional | None | $1,698.24 | $2,187.76 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $3,801.89 Typical High $3,801.89 | Facility | None | $1,778.28 | $3,801.89 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $3,715.35 Median $4,168.69 Typical High $7,244.36 | Professional | None | $3,715.35 | $4,168.69 | $7,244.36 |
Medica Setting Facility Modifier None Typical Low $2,187.76 Median $3,715.35 Typical High $15,135.61 | Facility | None | $2,187.76 | $3,715.35 | $15,135.61 |
Medica Setting Professional Modifier None Typical Low $1,288.25 Median $1,698.24 Typical High $2,691.53 | Professional | None | $1,288.25 | $1,698.24 | $2,691.53 |
Midlands Setting Professional Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $7,244.36 | Professional | None | $3,715.35 | $3,715.35 | $7,244.36 |
Midlands Setting Facility Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Facility | None | $3,801.89 | $3,801.89 | $3,801.89 |
Midlands Setting Professional Modifier None Typical Low $4,677.35 Median $7,244.36 Typical High $9,332.54 | Professional | None | $4,677.35 | $7,244.36 | $9,332.54 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $3,311.31 Typical High $3,311.31 | Facility | None | $1,621.81 | $3,311.31 | $3,311.31 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $1,698.24 Typical High $2,187.76 | Professional | None | $1,230.27 | $1,698.24 | $2,187.76 |
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 $851.14 Median $1,096.48 Typical High $1,288.25 | Professional | 52 · Reduced service | $851.14 | $1,096.48 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $436.52 Typical High $512.86 | Professional | 53 · Discontinued | $346.74 | $436.52 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $323.59 Typical High $380.19 | Professional | 55 · Aftercare only | $257.04 | $323.59 | $380.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $218.78 Typical High $257.04 | Professional | 56 · Pre-op care only | $169.82 | $218.78 | $257.04 |
Where Nebraska sits
The same service costs 3.2 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· 18th of 51
$2,188
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.