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 $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,659.59 Typical High $1,949.84 | Professional | None | $1,412.54 | $1,659.59 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $1,479.11 Median $2,951.21 Typical High $2,951.21 | Facility | None | $1,479.11 | $2,951.21 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $2,884.03 Median $3,090.30 Typical High $5,495.41 | Professional | None | $2,884.03 | $3,090.30 | $5,495.41 |
Medica Setting Facility Modifier None Typical Low $1,659.59 Median $2,884.03 Typical High $11,481.54 | Facility | None | $1,659.59 | $2,884.03 | $11,481.54 |
Medica Setting Professional Modifier None Typical Low $1,000.00 Median $1,288.25 Typical High $2,041.74 | Professional | None | $1,000.00 | $1,288.25 | $2,041.74 |
Midlands Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $5,495.41 | Professional | None | $2,884.03 | $2,884.03 | $5,495.41 |
Midlands Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
Midlands Setting Professional Modifier None Typical Low $3,630.78 Median $5,495.41 Typical High $7,079.46 | Professional | None | $3,630.78 | $5,495.41 | $7,079.46 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,288.25 Typical High $1,819.70 | Professional | None | $933.25 | $1,288.25 | $1,819.70 |
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 $831.76 Typical High $977.24 | Professional | 52 · Reduced service | $707.95 | $831.76 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $331.13 Typical High $389.05 | Professional | 53 · Discontinued | $281.84 | $331.13 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $251.19 Typical High $295.12 | Professional | 55 · Aftercare only | $213.80 | $251.19 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $165.96 Typical High $194.98 | Professional | 56 · Pre-op care only | $141.25 | $165.96 | $194.98 |
Where Nebraska sits
The same service costs 2.6 times more in Montana than in New York. 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· 17th of 51
$1,820
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.