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 $3.09 Median $3.09 Typical High $3.09 | Facility | None | $3.09 | $3.09 | $3.09 |
Aetna Setting Professional Modifier None Typical Low $0.83 Median $3.09 Typical High $4.07 | Professional | None | $0.83 | $3.09 | $4.07 |
Cigna Setting Facility Modifier None Typical Low $1.86 Median $3.47 Typical High $3.47 | Facility | None | $1.86 | $3.47 | $3.47 |
Cigna Setting Professional Modifier None Typical Low $3.39 Median $3.47 Typical High $6.61 | Professional | None | $3.39 | $3.47 | $6.61 |
Medica Setting Facility Modifier None Typical Low $2.51 Median $3.39 Typical High $79.43 | Facility | None | $2.51 | $3.39 | $79.43 |
Medica Setting Professional Modifier None Typical Low $1.02 Median $1.55 Typical High $2.57 | Professional | None | $1.02 | $1.55 | $2.57 |
Midlands Setting Professional Modifier None Typical Low $3.39 Median $3.47 Typical High $6.61 | Professional | None | $3.39 | $3.47 | $6.61 |
Midlands Setting Professional Modifier None Typical Low $4.27 Median $6.61 Typical High $8.51 | Professional | None | $4.27 | $6.61 | $8.51 |
United Setting Professional Modifier None Typical Low $1.10 Median $1.45 Typical High $1.95 | Professional | None | $1.10 | $1.45 | $1.95 |
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 $0.30 Median $0.47 Typical High $0.62 | Professional | 55 · Aftercare only | $0.30 | $0.47 | $0.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.20 Median $0.31 Typical High $0.41 | Professional | 56 · Pre-op care only | $0.20 | $0.31 | $0.41 |
Where Nebraska sits
The same service costs 3.0 times more in Hawaii than in New Hampshire. 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
$2.40
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.