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 $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,096.48 Typical High $1,288.25 | Professional | None | $1,000.00 | $1,096.48 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $1,905.46 Typical High $1,905.46 | Facility | None | $1,318.26 | $1,905.46 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $1,862.09 Median $2,137.96 Typical High $3,630.78 | Professional | None | $1,862.09 | $2,137.96 | $3,630.78 |
Medica Setting Facility Modifier None Typical Low $1,096.48 Median $1,862.09 Typical High $8,511.38 | Facility | None | $1,096.48 | $1,862.09 | $8,511.38 |
Medica Setting Professional Modifier None Typical Low $660.69 Median $851.14 Typical High $1,412.54 | Professional | None | $660.69 | $851.14 | $1,412.54 |
Midlands Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $3,630.78 | Professional | None | $1,862.09 | $1,862.09 | $3,630.78 |
Midlands Setting Facility Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Facility | None | $1,905.46 | $1,905.46 | $1,905.46 |
Midlands Setting Professional Modifier None Typical Low $2,398.83 Median $3,630.78 Typical High $4,677.35 | Professional | None | $2,398.83 | $3,630.78 | $4,677.35 |
United Setting Facility Modifier None Typical Low $645.65 Median $1,905.46 Typical High $1,905.46 | Facility | None | $645.65 | $1,905.46 | $1,905.46 |
United Setting Professional Modifier None Typical Low $616.60 Median $851.14 Typical High $1,258.93 | Professional | None | $616.60 | $851.14 | $1,258.93 |
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 $501.19 Median $549.54 Typical High $645.65 | Professional | 52 · Reduced service | $501.19 | $549.54 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $218.78 Typical High $257.04 | Professional | 53 · Discontinued | $199.53 | $218.78 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $165.96 Typical High $194.98 | Professional | 55 · Aftercare only | $147.91 | $165.96 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $109.65 Typical High $128.82 | Professional | 56 · Pre-op care only | $100.00 | $109.65 | $128.82 |
Where Nebraska sits
The same service costs 2.5 times more in Montana than in Pennsylvania. 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· 21st of 51
$1,259
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.