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 $2,238.72 Median $2,238.72 Typical High $2,238.72 | Facility | None | $2,238.72 | $2,238.72 | $2,238.72 |
Aetna Setting Professional Modifier None Typical Low $2,041.74 Median $2,238.72 Typical High $2,630.27 | Professional | None | $2,041.74 | $2,238.72 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $3,890.45 Typical High $3,890.45 | Facility | None | $2,398.83 | $3,890.45 | $3,890.45 |
Cigna Setting Professional Modifier None Typical Low $3,801.89 Median $4,265.80 Typical High $7,413.10 | Professional | None | $3,801.89 | $4,265.80 | $7,413.10 |
Medica Setting Facility Modifier None Typical Low $2,238.72 Median $3,801.89 Typical High $16,982.44 | Facility | None | $2,238.72 | $3,801.89 | $16,982.44 |
Medica Setting Professional Modifier None Typical Low $1,318.26 Median $1,737.80 Typical High $2,691.53 | Professional | None | $1,318.26 | $1,737.80 | $2,691.53 |
Midlands Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $7,413.10 | Professional | None | $3,801.89 | $3,801.89 | $7,413.10 |
Midlands 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 |
Midlands Setting Professional Modifier None Typical Low $4,786.30 Median $7,413.10 Typical High $9,549.93 | Professional | None | $4,786.30 | $7,413.10 | $9,549.93 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $3,890.45 Typical High $3,890.45 | Facility | None | $1,445.44 | $3,890.45 | $3,890.45 |
United Setting Professional Modifier None Typical Low $1,258.93 Median $1,737.80 Typical High $2,630.27 | Professional | None | $1,258.93 | $1,737.80 | $2,630.27 |
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 $1,023.29 Median $1,122.02 Typical High $1,288.25 | Professional | 52 · Reduced service | $1,023.29 | $1,122.02 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $407.38 Median $446.68 Typical High $524.81 | Professional | 53 · Discontinued | $407.38 | $446.68 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $302.00 Median $331.13 Typical High $389.05 | Professional | 55 · Aftercare only | $302.00 | $331.13 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $204.17 Median $223.87 Typical High $263.03 | Professional | 56 · Pre-op care only | $204.17 | $223.87 | $263.03 |
Where Nebraska sits
The same service costs 2.2 times more in Arkansas 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
$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.