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 $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $21.88 Typical High $28.84 | Professional | None | $7.94 | $21.88 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $24.55 Typical High $24.55 | Facility | None | $15.49 | $24.55 | $24.55 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $27.54 Typical High $46.77 | Professional | None | $23.99 | $27.54 | $46.77 |
Medica Setting Facility Modifier None Typical Low $17.78 Median $25.12 Typical High $117.49 | Facility | None | $17.78 | $25.12 | $117.49 |
Medica Setting Professional Modifier None Typical Low $8.32 Median $10.96 Typical High $16.98 | Professional | None | $8.32 | $10.96 | $16.98 |
Midlands Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $46.77 | Professional | None | $23.99 | $23.99 | $46.77 |
Midlands Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
Midlands Setting Professional Modifier None Typical Low $30.20 Median $46.77 Typical High $60.26 | Professional | None | $30.20 | $46.77 | $60.26 |
United Setting Professional Modifier None Typical Low $7.94 Median $10.96 Typical High $16.22 | Professional | None | $7.94 | $10.96 | $16.22 |
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 $2.51 Median $3.24 Typical High $4.37 | Professional | 55 · Aftercare only | $2.51 | $3.24 | $4.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.70 Median $2.19 Typical High $2.88 | Professional | 56 · Pre-op care only | $1.70 | $2.19 | $2.88 |
Where Nebraska sits
The same service costs 3.5 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· 21st of 51
$16.98
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.