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 $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $2,041.74 Median $2,398.83 Typical High $2,818.38 | Professional | None | $2,041.74 | $2,398.83 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $4,265.80 Typical High $4,265.80 | Facility | None | $2,454.71 | $4,265.80 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $4,168.69 Median $4,365.16 Typical High $8,128.31 | Professional | None | $4,168.69 | $4,365.16 | $8,128.31 |
Medica Setting Facility Modifier None Typical Low $2,398.83 Median $4,168.69 Typical High $17,782.79 | Facility | None | $2,398.83 | $4,168.69 | $17,782.79 |
Medica Setting Professional Modifier None Typical Low $1,445.44 Median $1,905.46 Typical High $2,951.21 | Professional | None | $1,445.44 | $1,905.46 | $2,951.21 |
Midlands Setting Professional Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $8,128.31 | Professional | None | $4,168.69 | $4,168.69 | $8,128.31 |
Midlands Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Facility | None | $4,265.80 | $4,265.80 | $4,265.80 |
Midlands Setting Professional Modifier None Typical Low $5,248.07 Median $8,128.31 Typical High $10,471.29 | Professional | None | $5,248.07 | $8,128.31 | $10,471.29 |
United Setting Facility Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Facility | None | $3,890.45 | $3,890.45 | $3,890.45 |
United Setting Professional Modifier None Typical Low $1,380.38 Median $1,905.46 Typical High $2,630.27 | Professional | None | $1,380.38 | $1,905.46 | $2,630.27 |
2 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 55 · Aftercare only Typical Low $309.03 Median $363.08 Typical High $426.58 | Professional | 55 · Aftercare only | $309.03 | $363.08 | $426.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $204.17 Median $239.88 Typical High $281.84 | Professional | 56 · Pre-op care only | $204.17 | $239.88 | $281.84 |
Where Nebraska sits
The same service costs 2.3 times more in Montana 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· 19th of 51
$2,630
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.