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 $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $37.15 Typical High $48.98 | Professional | None | $11.22 | $37.15 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $41.69 Typical High $41.69 | Facility | None | $21.88 | $41.69 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $41.69 Typical High $77.62 | Professional | None | $40.74 | $41.69 | $77.62 |
Medica Setting Facility Modifier None Typical Low $29.51 Median $37.15 Typical High $165.96 | Facility | None | $29.51 | $37.15 | $165.96 |
Medica Setting Professional Modifier None Typical Low $12.30 Median $18.20 Typical High $30.90 | Professional | None | $12.30 | $18.20 | $30.90 |
Midlands Setting Professional Modifier None Typical Low $40.74 Median $41.69 Typical High $77.62 | Professional | None | $40.74 | $41.69 | $77.62 |
Midlands Setting Professional Modifier None Typical Low $51.29 Median $77.62 Typical High $100.00 | Professional | None | $51.29 | $77.62 | $100.00 |
United Setting Professional Modifier None Typical Low $12.88 Median $17.78 Typical High $23.44 | Professional | None | $12.88 | $17.78 | $23.44 |
2 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 55 · Aftercare only Typical Low $3.55 Median $5.50 Typical High $7.24 | Professional | 55 · Aftercare only | $3.55 | $5.50 | $7.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.34 Median $3.72 Typical High $4.90 | Professional | 56 · Pre-op care only | $2.34 | $3.72 | $4.90 |
Where Nebraska sits
The same service costs 2.9 times more in Hawaii than in Rhode Island. 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· 16th of 51
$28.84
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.