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 $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $61.66 Typical High $83.18 | Professional | None | $19.50 | $61.66 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $69.18 Typical High $69.18 | Facility | None | $38.02 | $69.18 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $70.79 Typical High $128.82 | Professional | None | $67.61 | $70.79 | $128.82 |
Medica Setting Facility Modifier None Typical Low $48.98 Median $63.10 Typical High $281.84 | Facility | None | $48.98 | $63.10 | $281.84 |
Medica Setting Professional Modifier None Typical Low $20.42 Median $30.20 Typical High $51.29 | Professional | None | $20.42 | $30.20 | $51.29 |
Midlands Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $128.82 | Professional | None | $67.61 | $67.61 | $128.82 |
Midlands Setting Facility Modifier None Typical Low $67.61 Median $69.18 Typical High $69.18 | Facility | None | $67.61 | $69.18 | $69.18 |
Midlands Setting Professional Modifier None Typical Low $85.11 Median $128.82 Typical High $165.96 | Professional | None | $85.11 | $128.82 | $165.96 |
United Setting Professional Modifier None Typical Low $21.88 Median $30.20 Typical High $40.74 | Professional | None | $21.88 | $30.20 | $40.74 |
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 $5.37 Median $9.12 Typical High $12.59 | Professional | 55 · Aftercare only | $5.37 | $9.12 | $12.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.55 Median $6.17 Typical High $8.32 | Professional | 56 · Pre-op care only | $3.55 | $6.17 | $8.32 |
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
$47.86
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.