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 $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $977.24 Typical High $1,148.15 | Professional | None | $831.76 | $977.24 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,096.48 | $1,737.80 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $1,698.24 Median $1,905.46 Typical High $3,235.94 | Professional | None | $1,698.24 | $1,905.46 | $3,235.94 |
Medica Setting Facility Modifier None Typical Low $977.24 Median $1,698.24 Typical High $7,244.36 | Facility | None | $977.24 | $1,698.24 | $7,244.36 |
Medica Setting Professional Modifier None Typical Low $588.84 Median $758.58 Typical High $1,202.26 | Professional | None | $588.84 | $758.58 | $1,202.26 |
Midlands Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $3,235.94 | Professional | None | $1,698.24 | $1,698.24 | $3,235.94 |
Midlands Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Midlands Setting Professional Modifier None Typical Low $2,137.96 Median $3,235.94 Typical High $4,168.69 | Professional | None | $2,137.96 | $3,235.94 | $4,168.69 |
United Setting Facility Modifier None Typical Low $660.69 Median $1,584.89 Typical High $1,584.89 | Facility | None | $660.69 | $1,584.89 | $1,584.89 |
United Setting Professional Modifier None Typical Low $549.54 Median $758.58 Typical High $1,071.52 | Professional | None | $549.54 | $758.58 | $1,071.52 |
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 $416.87 Median $489.78 Typical High $575.44 | Professional | 52 · Reduced service | $416.87 | $489.78 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $194.98 Typical High $229.09 | Professional | 53 · Discontinued | $165.96 | $194.98 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $147.91 Typical High $173.78 | Professional | 55 · Aftercare only | $123.03 | $147.91 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $97.72 Typical High $114.82 | Professional | 56 · Pre-op care only | $83.18 | $97.72 | $114.82 |
Where Nebraska sits
The same service costs 2.2 times more in Hawaii than in Florida. 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
$1,072
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.