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 $12.30 Median $12.30 Typical High $12.30 | Facility | None | $12.30 | $12.30 | $12.30 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $12.30 Typical High $12.30 | Professional | None | $8.13 | $12.30 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $5.89 Median $13.80 Typical High $13.80 | Facility | None | $5.89 | $13.80 | $13.80 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $14.13 Typical High $26.30 | Professional | None | $13.49 | $14.13 | $26.30 |
Medica Setting Facility Modifier None Typical Low $10.00 Median $12.30 Typical High $79.43 | Facility | None | $10.00 | $12.30 | $79.43 |
Medica Setting Professional Modifier None Typical Low $4.07 Median $6.17 Typical High $9.55 | Professional | None | $4.07 | $6.17 | $9.55 |
Midlands Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $26.30 | Professional | None | $13.49 | $13.49 | $26.30 |
Midlands Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
Midlands Setting Professional Modifier None Typical Low $16.98 Median $26.30 Typical High $33.88 | Professional | None | $16.98 | $26.30 | $33.88 |
United Setting Professional Modifier None Typical Low $4.37 Median $6.03 Typical High $7.94 | Professional | None | $4.37 | $6.03 | $7.94 |
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 $1.23 Median $1.86 Typical High $1.86 | Professional | 55 · Aftercare only | $1.23 | $1.86 | $1.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.81 Median $1.23 Typical High $1.23 | Professional | 56 · Pre-op care only | $0.81 | $1.23 | $1.23 |
Where Nebraska sits
The same service costs 2.7 times more in Hawaii than in Vermont. 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· 14th of 51
$9.55
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.