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 $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $478.63 Typical High $562.34 | Professional | None | $398.11 | $478.63 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $831.76 Typical High $831.76 | Facility | None | $562.34 | $831.76 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $912.01 Typical High $1,584.89 | Professional | None | $812.83 | $912.01 | $1,584.89 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $812.83 Typical High $3,467.37 | Facility | None | $478.63 | $812.83 | $3,467.37 |
Medica Setting Professional Modifier None Typical Low $288.40 Median $371.54 Typical High $588.84 | Professional | None | $288.40 | $371.54 | $588.84 |
Midlands Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,584.89 | Professional | None | $812.83 | $812.83 | $1,584.89 |
Midlands Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Midlands Setting Professional Modifier None Typical Low $1,047.13 Median $1,584.89 Typical High $2,041.74 | Professional | None | $1,047.13 | $1,584.89 | $2,041.74 |
United Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
United Setting Professional Modifier None Typical Low $269.15 Median $371.54 Typical High $512.86 | Professional | None | $269.15 | $371.54 | $512.86 |
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 $60.26 Median $72.44 Typical High $85.11 | Professional | 55 · Aftercare only | $60.26 | $72.44 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $47.86 Typical High $56.23 | Professional | 56 · Pre-op care only | $39.81 | $47.86 | $56.23 |
Where Nebraska sits
The same service costs 2.6 times more in Hawaii than in New Jersey. 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· 22nd of 51
$513
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.