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 $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,778.28 | Professional | None | $1,412.54 | $1,412.54 | $1,778.28 |
BCBS Nebraska Setting Facility Modifier None Typical Low $2,454.71 Median $3,235.94 Typical High $6,606.93 | Facility | None | $2,454.71 | $3,235.94 | $6,606.93 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $954.99 Typical High $954.99 | Facility | None | $478.63 | $954.99 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $1,000.00 Typical High $1,819.70 | Professional | None | $933.25 | $1,000.00 | $1,819.70 |
Medica Setting Facility Modifier None Typical Low $933.25 Median $1,479.11 Typical High $4,073.80 | Facility | None | $933.25 | $1,479.11 | $4,073.80 |
Medica Setting Professional Modifier None Typical Low $331.13 Median $426.58 Typical High $676.08 | Professional | None | $331.13 | $426.58 | $676.08 |
Midlands Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,819.70 | Professional | None | $933.25 | $933.25 | $1,819.70 |
Midlands Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
Midlands Setting Professional Modifier None Typical Low $1,202.26 Median $1,819.70 Typical High $2,344.23 | Professional | None | $1,202.26 | $1,819.70 | $2,344.23 |
United Setting Professional Modifier None Typical Low $309.03 Median $426.58 Typical High $602.56 | Professional | None | $309.03 | $426.58 | $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 $707.95 Median $707.95 Typical High $870.96 | Professional | 52 · Reduced service | $707.95 | $707.95 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $281.84 Typical High $354.81 | Professional | 53 · Discontinued | $281.84 | $281.84 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $208.93 Typical High $263.03 | Professional | 55 · Aftercare only | $208.93 | $208.93 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $141.25 Typical High $177.83 | Professional | 56 · Pre-op care only | $141.25 | $141.25 | $177.83 |
Where Nebraska sits
The same service costs 3.2 times more in Michigan than in Ohio. 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· 12th of 51
$851
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.