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 $575.44 Median $575.44 Typical High $575.44 | Facility | None | $575.44 | $575.44 | $575.44 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $575.44 Typical High $676.08 | Professional | None | $478.63 | $575.44 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,000.00 Typical High $1,000.00 | Facility | None | $707.95 | $1,000.00 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $977.24 Typical High $1,905.46 | Professional | None | $912.01 | $977.24 | $1,905.46 |
Medica Setting Facility Modifier None Typical Low $575.44 Median $977.24 Typical High $4,073.80 | Facility | None | $575.44 | $977.24 | $4,073.80 |
Medica Setting Professional Modifier None Typical Low $346.74 Median $446.68 Typical High $707.95 | Professional | None | $346.74 | $446.68 | $707.95 |
Midlands Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,905.46 | Professional | None | $977.24 | $977.24 | $1,905.46 |
Midlands 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 |
Midlands Setting Professional Modifier None Typical Low $1,258.93 Median $1,905.46 Typical High $2,454.71 | Professional | None | $1,258.93 | $1,905.46 | $2,454.71 |
United Setting Facility Modifier None Typical Low $398.11 Median $912.01 Typical High $912.01 | Facility | None | $398.11 | $912.01 | $912.01 |
United Setting Professional Modifier None Typical Low $323.59 Median $446.68 Typical High $602.56 | Professional | None | $323.59 | $446.68 | $602.56 |
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 $223.87 Median $288.40 Typical High $338.84 | Professional | 52 · Reduced service | $223.87 | $288.40 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $114.82 Typical High $134.90 | Professional | 53 · Discontinued | $91.20 | $114.82 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $87.10 Typical High $102.33 | Professional | 55 · Aftercare only | $67.61 | $87.10 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $57.54 Typical High $67.61 | Professional | 56 · Pre-op care only | $45.71 | $57.54 | $67.61 |
Where Nebraska sits
The same service costs 2.0 times more in Iowa than in Florida. 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· 26th of 51
$603
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.