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 $5,754.40 Median $5,754.40 Typical High $5,754.40 | Facility | None | $5,754.40 | $5,754.40 | $5,754.40 |
Aetna Setting Professional Modifier None Typical Low $4,786.30 Median $5,754.40 Typical High $6,760.83 | Professional | None | $4,786.30 | $5,754.40 | $6,760.83 |
Cigna Setting Facility Modifier None Typical Low $6,606.93 Median $10,000.00 Typical High $10,000.00 | Facility | None | $6,606.93 | $10,000.00 | $10,000.00 |
Cigna Setting Professional Modifier None Typical Low $9,772.37 Median $11,220.18 Typical High $19,054.61 | Professional | None | $9,772.37 | $11,220.18 | $19,054.61 |
Medica Setting Facility Modifier None Typical Low $5,754.40 Median $9,772.37 Typical High $42,657.95 | Facility | None | $5,754.40 | $9,772.37 | $42,657.95 |
Medica Setting Professional Modifier None Typical Low $3,467.37 Median $4,466.84 Typical High $7,079.46 | Professional | None | $3,467.37 | $4,466.84 | $7,079.46 |
Midlands Setting Professional Modifier None Typical Low $9,772.37 Median $9,772.37 Typical High $19,054.61 | Professional | None | $9,772.37 | $9,772.37 | $19,054.61 |
Midlands Setting Facility Modifier None Typical Low $10,000.00 Median $10,000.00 Typical High $10,000.00 | Facility | None | $10,000.00 | $10,000.00 | $10,000.00 |
Midlands Setting Professional Modifier None Typical Low $12,589.25 Median $19,054.61 Typical High $24,547.09 | Professional | None | $12,589.25 | $19,054.61 | $24,547.09 |
United Setting Facility Modifier None Typical Low $3,801.89 Median $9,332.54 Typical High $9,332.54 | Facility | None | $3,801.89 | $9,332.54 | $9,332.54 |
United Setting Professional Modifier None Typical Low $3,235.94 Median $4,466.84 Typical High $6,165.95 | Professional | None | $3,235.94 | $4,466.84 | $6,165.95 |
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 $2,398.83 Median $2,884.03 Typical High $3,388.44 | Professional | 52 · Reduced service | $2,398.83 | $2,884.03 | $3,388.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $954.99 Median $1,148.15 Typical High $1,348.96 | Professional | 53 · Discontinued | $954.99 | $1,148.15 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $724.44 Median $870.96 Typical High $1,023.29 | Professional | 55 · Aftercare only | $724.44 | $870.96 | $1,023.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $478.63 Median $575.44 Typical High $676.08 | Professional | 56 · Pre-op care only | $478.63 | $575.44 | $676.08 |
Where Nebraska sits
The same service costs 2.1 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· 19th of 51
$6,166
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.