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 $9.77 Median $9.77 Typical High $9.77 | Facility | None | $9.77 | $9.77 | $9.77 |
Aetna Setting Professional Modifier None Typical Low $2.69 Median $9.77 Typical High $23.99 | Professional | None | $2.69 | $9.77 | $23.99 |
Ambetter Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | None | $6.03 | $6.03 | $6.03 |
Cigna Setting Facility Modifier None Typical Low $5.89 Median $10.96 Typical High $10.96 | Facility | None | $5.89 | $10.96 | $10.96 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $10.96 Typical High $20.89 | Professional | None | $10.72 | $10.96 | $20.89 |
Medica Setting Facility Modifier None Typical Low $7.94 Median $9.77 Typical High $79.43 | Facility | None | $7.94 | $9.77 | $79.43 |
Medica Setting Professional Modifier None Typical Low $3.24 Median $4.90 Typical High $9.33 | Professional | None | $3.24 | $4.90 | $9.33 |
Midlands Setting Professional Modifier None Typical Low $10.72 Median $10.96 Typical High $20.89 | Professional | None | $10.72 | $10.96 | $20.89 |
Midlands Setting Professional Modifier None Typical Low $13.49 Median $20.89 Typical High $26.92 | Professional | None | $13.49 | $20.89 | $26.92 |
United Setting Professional Modifier None Typical Low $3.47 Median $4.68 Typical High $6.31 | Professional | None | $3.47 | $4.68 | $6.31 |
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 $0.95 Median $1.48 Typical High $1.66 | Professional | 55 · Aftercare only | $0.95 | $1.48 | $1.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.65 Median $0.98 Typical High $1.10 | Professional | 56 · Pre-op care only | $0.65 | $0.98 | $1.10 |
Where Nebraska sits
The same service costs 2.4 times more in Kansas 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· 18th of 51
$7.59
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.