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 $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $346.74 Typical High $407.38 | Professional | None | $288.40 | $346.74 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $616.60 Typical High $616.60 | Facility | None | $363.08 | $616.60 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $660.69 Typical High $1,174.90 | Professional | None | $602.56 | $660.69 | $1,174.90 |
Medica Setting Facility Modifier None Typical Low $346.74 Median $602.56 Typical High $2,630.27 | Facility | None | $346.74 | $602.56 | $2,630.27 |
Medica Setting Professional Modifier None Typical Low $208.93 Median $275.42 Typical High $426.58 | Professional | None | $208.93 | $275.42 | $426.58 |
Midlands Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $1,174.90 | Professional | None | $602.56 | $602.56 | $1,174.90 |
Midlands Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Midlands Setting Professional Modifier None Typical Low $758.58 Median $1,174.90 Typical High $1,513.56 | Professional | None | $758.58 | $1,174.90 | $1,513.56 |
United Setting Facility Modifier None Typical Low $239.88 Median $562.34 Typical High $562.34 | Facility | None | $239.88 | $562.34 | $562.34 |
United Setting Professional Modifier None Typical Low $199.53 Median $275.42 Typical High $371.54 | Professional | None | $199.53 | $275.42 | $371.54 |
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 $144.54 Median $173.78 Typical High $204.17 | Professional | 52 · Reduced service | $144.54 | $173.78 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $70.79 Typical High $81.28 | Professional | 53 · Discontinued | $57.54 | $70.79 | $81.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $52.48 Typical High $61.66 | Professional | 55 · Aftercare only | $43.65 | $52.48 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $34.67 Typical High $40.74 | Professional | 56 · Pre-op care only | $28.84 | $34.67 | $40.74 |
Where Nebraska sits
The same service costs 2.6 times more in Hawaii than in Alabama. 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· 19th of 51
$372
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.