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 $4,466.84 Median $4,466.84 Typical High $4,466.84 | Facility | None | $4,466.84 | $4,466.84 | $4,466.84 |
Aetna Setting Professional Modifier None Typical Low $4,168.69 Median $4,466.84 Typical High $5,248.07 | Professional | None | $4,168.69 | $4,466.84 | $5,248.07 |
Cigna Setting Facility Modifier None Typical Low $4,677.35 Median $7,943.28 Typical High $7,943.28 | Facility | None | $4,677.35 | $7,943.28 | $7,943.28 |
Cigna Setting Professional Modifier None Typical Low $7,762.47 Median $8,511.38 Typical High $14,791.08 | Professional | None | $7,762.47 | $8,511.38 | $14,791.08 |
Medica Setting Facility Modifier None Typical Low $4,466.84 Median $7,762.47 Typical High $35,481.34 | Facility | None | $4,466.84 | $7,762.47 | $35,481.34 |
Medica Setting Professional Modifier None Typical Low $2,691.53 Median $3,548.13 Typical High $5,495.41 | Professional | None | $2,691.53 | $3,548.13 | $5,495.41 |
Midlands Setting Professional Modifier None Typical Low $7,762.47 Median $7,762.47 Typical High $14,791.08 | Professional | None | $7,762.47 | $7,762.47 | $14,791.08 |
Midlands Setting Facility Modifier None Typical Low $7,943.28 Median $7,943.28 Typical High $7,943.28 | Facility | None | $7,943.28 | $7,943.28 | $7,943.28 |
Midlands Setting Professional Modifier None Typical Low $9,772.37 Median $14,791.08 Typical High $19,498.45 | Professional | None | $9,772.37 | $14,791.08 | $19,498.45 |
United Setting Facility Modifier None Typical Low $2,884.03 Median $8,128.31 Typical High $8,128.31 | Facility | None | $2,884.03 | $8,128.31 | $8,128.31 |
United Setting Professional Modifier None Typical Low $2,570.40 Median $3,548.13 Typical High $5,370.32 | Professional | None | $2,570.40 | $3,548.13 | $5,370.32 |
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 $2,089.30 Median $2,238.72 Typical High $2,630.27 | Professional | 52 · Reduced service | $2,089.30 | $2,238.72 | $2,630.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $831.76 Median $891.25 Typical High $1,047.13 | Professional | 53 · Discontinued | $831.76 | $891.25 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $616.60 Median $676.08 Typical High $794.33 | Professional | 55 · Aftercare only | $616.60 | $676.08 | $794.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $416.87 Median $446.68 Typical High $524.81 | Professional | 56 · Pre-op care only | $416.87 | $446.68 | $524.81 |
Where Nebraska sits
The same service costs 2.3 times more in Arkansas than in Vermont. 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
$5,370
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.