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 $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
Aetna Setting Professional Modifier None Typical Low $6.17 Median $22.39 Typical High $29.51 | Professional | None | $6.17 | $22.39 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $13.49 Median $25.12 Typical High $25.12 | Facility | None | $13.49 | $25.12 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $47.86 | Professional | None | $24.55 | $24.55 | $47.86 |
Medica Setting Facility Modifier None Typical Low $18.20 Median $22.39 Typical High $102.33 | Facility | None | $18.20 | $22.39 | $102.33 |
Medica Setting Professional Modifier None Typical Low $7.41 Median $11.22 Typical High $17.78 | Professional | None | $7.41 | $11.22 | $17.78 |
Midlands Setting Professional Modifier None Typical Low $24.55 Median $25.12 Typical High $47.86 | Professional | None | $24.55 | $25.12 | $47.86 |
Midlands Setting Professional Modifier None Typical Low $30.90 Median $47.86 Typical High $61.66 | Professional | None | $30.90 | $47.86 | $61.66 |
United Setting Professional Modifier None Typical Low $7.94 Median $10.72 Typical High $14.13 | Professional | None | $7.94 | $10.72 | $14.13 |
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 $1.86 Median $3.39 Typical High $4.47 | Professional | 55 · Aftercare only | $1.86 | $3.39 | $4.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.26 Median $2.24 Typical High $2.95 | Professional | 56 · Pre-op care only | $1.26 | $2.24 | $2.95 |
Where Nebraska sits
The same service costs 2.8 times more in Hawaii than in Connecticut. 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
$17.38
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.