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 $10.23 Median $10.23 Typical High $10.23 | Facility | None | $10.23 | $10.23 | $10.23 |
Aetna Setting Professional Modifier None Typical Low $2.82 Median $10.23 Typical High $13.49 | Professional | None | $2.82 | $10.23 | $13.49 |
Ambetter Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | None | $6.31 | $6.31 | $6.31 |
Cigna Setting Facility Modifier None Typical Low $6.17 Median $11.48 Typical High $11.48 | Facility | None | $6.17 | $11.48 | $11.48 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $11.48 Typical High $21.88 | Professional | None | $11.22 | $11.48 | $21.88 |
Medica Setting Facility Modifier None Typical Low $8.32 Median $10.00 Typical High $79.43 | Facility | None | $8.32 | $10.00 | $79.43 |
Medica Setting Professional Modifier None Typical Low $3.39 Median $5.13 Typical High $8.51 | Professional | None | $3.39 | $5.13 | $8.51 |
Midlands Setting Professional Modifier None Typical Low $11.22 Median $11.48 Typical High $21.88 | Professional | None | $11.22 | $11.48 | $21.88 |
Midlands Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | None | $10.47 | $10.47 | $10.47 |
Midlands Setting Professional Modifier None Typical Low $14.13 Median $21.88 Typical High $28.18 | Professional | None | $14.13 | $21.88 | $28.18 |
United Setting Professional Modifier None Typical Low $3.72 Median $4.90 Typical High $6.61 | Professional | None | $3.72 | $4.90 | $6.61 |
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 $0.93 Median $1.55 Typical High $2.04 | Professional | 55 · Aftercare only | $0.93 | $1.55 | $2.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.63 Median $1.02 Typical High $1.35 | Professional | 56 · Pre-op care only | $0.63 | $1.02 | $1.35 |
Where Nebraska sits
The same service costs 2.1 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· 15th of 51
$7.94
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.