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 $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $1,778.28 | Professional | None | $1,096.48 | $1,513.56 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $2,630.27 Typical High $2,630.27 | Facility | None | $1,122.02 | $2,630.27 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $2,630.27 Median $2,691.53 Typical High $5,011.87 | Professional | None | $2,630.27 | $2,691.53 | $5,011.87 |
Medica Setting Facility Modifier None Typical Low $1,513.56 Median $2,570.40 Typical High $9,772.37 | Facility | None | $1,513.56 | $2,570.40 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $912.01 Median $1,174.90 Typical High $1,862.09 | Professional | None | $912.01 | $1,174.90 | $1,862.09 |
Midlands Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $5,011.87 | Professional | None | $2,630.27 | $2,630.27 | $5,011.87 |
Midlands Setting Facility Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Facility | None | $2,630.27 | $2,630.27 | $2,630.27 |
Midlands Setting Professional Modifier None Typical Low $3,311.31 Median $5,011.87 Typical High $6,456.54 | Professional | None | $3,311.31 | $5,011.87 | $6,456.54 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,089.30 Typical High $2,089.30 | Facility | None | $1,047.13 | $2,089.30 | $2,089.30 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,174.90 Typical High $1,380.38 | Professional | None | $851.14 | $1,174.90 | $1,380.38 |
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 $549.54 Median $758.58 Typical High $891.25 | Professional | 52 · Reduced service | $549.54 | $758.58 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $302.00 Typical High $354.81 | Professional | 53 · Discontinued | $218.78 | $302.00 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $229.09 Typical High $269.15 | Professional | 55 · Aftercare only | $162.18 | $229.09 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $151.36 Typical High $177.83 | Professional | 56 · Pre-op care only | $109.65 | $151.36 | $177.83 |
Where Nebraska sits
The same service costs 3.1 times more in Hawaii 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· 18th of 51
$1,514
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.