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 $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | None | $2,290.87 | $2,290.87 | $2,290.87 |
Aetna Setting Professional Modifier None Typical Low $1,862.09 Median $2,290.87 Typical High $2,691.53 | Professional | None | $1,862.09 | $2,290.87 | $2,691.53 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $3,981.07 Typical High $3,981.07 | Facility | None | $2,454.71 | $3,981.07 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $3,890.45 Median $4,466.84 Typical High $7,585.78 | Professional | None | $3,890.45 | $4,466.84 | $7,585.78 |
Medica Setting Facility Modifier None Typical Low $2,290.87 Median $3,890.45 Typical High $16,595.87 | Facility | None | $2,290.87 | $3,890.45 | $16,595.87 |
Medica Setting Professional Modifier None Typical Low $1,348.96 Median $1,778.28 Typical High $2,754.23 | Professional | None | $1,348.96 | $1,778.28 | $2,754.23 |
Midlands Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $7,585.78 | Professional | None | $3,890.45 | $3,890.45 | $7,585.78 |
Midlands Setting Facility Modifier None Typical Low $3,981.07 Median $3,981.07 Typical High $3,981.07 | Facility | None | $3,981.07 | $3,981.07 | $3,981.07 |
Midlands Setting Professional Modifier None Typical Low $4,897.79 Median $7,585.78 Typical High $9,772.37 | Professional | None | $4,897.79 | $7,585.78 | $9,772.37 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $3,630.78 Typical High $3,630.78 | Facility | None | $2,089.30 | $3,630.78 | $3,630.78 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $1,778.28 Typical High $2,398.83 | Professional | None | $1,288.25 | $1,778.28 | $2,398.83 |
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 $933.25 Median $1,148.15 Typical High $1,348.96 | Professional | 52 · Reduced service | $933.25 | $1,148.15 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $457.09 Typical High $537.03 | Professional | 53 · Discontinued | $371.54 | $457.09 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $281.84 Median $338.84 Typical High $398.11 | Professional | 55 · Aftercare only | $281.84 | $338.84 | $398.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $229.09 Typical High $269.15 | Professional | 56 · Pre-op care only | $186.21 | $229.09 | $269.15 |
Where Nebraska sits
The same service costs 3.4 times more in Hawaii 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
$2,399
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.