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 $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $1,000.00 Typical High $1,174.90 | Professional | None | $851.14 | $1,000.00 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,122.02 | $1,778.28 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $1,862.09 Typical High $3,388.44 | Professional | None | $1,737.80 | $1,862.09 | $3,388.44 |
Medica Setting Facility Modifier None Typical Low $1,000.00 Median $1,737.80 Typical High $7,413.10 | Facility | None | $1,000.00 | $1,737.80 | $7,413.10 |
Medica Setting Professional Modifier None Typical Low $602.56 Median $794.33 Typical High $1,230.27 | Professional | None | $602.56 | $794.33 | $1,230.27 |
Midlands Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $3,388.44 | Professional | None | $1,737.80 | $1,737.80 | $3,388.44 |
Midlands Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
Midlands Setting Professional Modifier None Typical Low $2,187.76 Median $3,388.44 Typical High $4,365.16 | Professional | None | $2,187.76 | $3,388.44 | $4,365.16 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
United Setting Professional Modifier None Typical Low $575.44 Median $794.33 Typical High $1,096.48 | Professional | None | $575.44 | $794.33 | $1,096.48 |
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 $128.82 Median $151.36 Typical High $177.83 | Professional | 55 · Aftercare only | $128.82 | $151.36 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $100.00 Typical High $117.49 | Professional | 56 · Pre-op care only | $85.11 | $100.00 | $117.49 |
Where Nebraska sits
The same service costs 2.1 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· 22nd of 51
$1,096
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.