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 $6,456.54 Median $6,456.54 Typical High $6,456.54 | Facility | None | $6,456.54 | $6,456.54 | $6,456.54 |
Aetna Setting Professional Modifier None Typical Low $5,754.40 Median $6,456.54 Typical High $7,585.78 | Professional | None | $5,754.40 | $6,456.54 | $7,585.78 |
Cigna Setting Facility Modifier None Typical Low $5,623.41 Median $11,481.54 Typical High $11,481.54 | Facility | None | $5,623.41 | $11,481.54 | $11,481.54 |
Cigna Setting Professional Modifier None Typical Low $11,220.18 Median $12,022.64 Typical High $21,379.62 | Professional | None | $11,220.18 | $12,022.64 | $21,379.62 |
Medica Setting Facility Modifier None Typical Low $6,456.54 Median $10,964.78 Typical High $44,668.36 | Facility | None | $6,456.54 | $10,964.78 | $44,668.36 |
Medica Setting Professional Modifier None Typical Low $3,890.45 Median $5,011.87 Typical High $7,943.28 | Professional | None | $3,890.45 | $5,011.87 | $7,943.28 |
Midlands Setting Professional Modifier None Typical Low $11,220.18 Median $11,220.18 Typical High $21,379.62 | Professional | None | $11,220.18 | $11,220.18 | $21,379.62 |
Midlands Setting Facility Modifier None Typical Low $11,481.54 Median $11,481.54 Typical High $11,481.54 | Facility | None | $11,481.54 | $11,481.54 | $11,481.54 |
Midlands Setting Professional Modifier None Typical Low $14,125.38 Median $21,379.62 Typical High $27,542.29 | Professional | None | $14,125.38 | $21,379.62 | $27,542.29 |
United Setting Professional Modifier None Typical Low $3,630.78 Median $5,011.87 Typical High $7,079.46 | Professional | None | $3,630.78 | $5,011.87 | $7,079.46 |
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 $2,818.38 Median $3,235.94 Typical High $3,801.89 | Professional | 52 · Reduced service | $2,818.38 | $3,235.94 | $3,801.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,148.15 Median $1,288.25 Typical High $1,513.56 | Professional | 53 · Discontinued | $1,148.15 | $1,288.25 | $1,513.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $851.14 Median $977.24 Typical High $1,148.15 | Professional | 55 · Aftercare only | $851.14 | $977.24 | $1,148.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $575.44 Median $645.65 Typical High $758.58 | Professional | 56 · Pre-op care only | $575.44 | $645.65 | $758.58 |
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
$7,079
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.