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 $5.89 Median $5.89 Typical High $5.89 | Facility | None | $5.89 | $5.89 | $5.89 |
Aetna Setting Professional Modifier None Typical Low $3.89 Median $5.89 Typical High $7.76 | Professional | None | $3.89 | $5.89 | $7.76 |
Cigna Setting Facility Modifier None Typical Low $3.80 Median $6.61 Typical High $6.61 | Facility | None | $3.80 | $6.61 | $6.61 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $6.61 Typical High $12.30 | Professional | None | $6.46 | $6.61 | $12.30 |
Medica Setting Facility Modifier None Typical Low $4.79 Median $5.89 Typical High $79.43 | Facility | None | $4.79 | $5.89 | $79.43 |
Medica Setting Professional Modifier None Typical Low $1.95 Median $2.95 Typical High $4.57 | Professional | None | $1.95 | $2.95 | $4.57 |
Midlands Setting Professional Modifier None Typical Low $6.46 Median $6.61 Typical High $12.30 | Professional | None | $6.46 | $6.61 | $12.30 |
Midlands Setting Professional Modifier None Typical Low $8.13 Median $12.30 Typical High $16.22 | Professional | None | $8.13 | $12.30 | $16.22 |
United Setting Professional Modifier None Typical Low $2.09 Median $2.75 Typical High $3.72 | Professional | None | $2.09 | $2.75 | $3.72 |
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 $0.58 Median $0.87 Typical High $1.15 | Professional | 55 · Aftercare only | $0.58 | $0.87 | $1.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.39 Median $0.59 Typical High $0.78 | Professional | 56 · Pre-op care only | $0.39 | $0.59 | $0.78 |
Where Nebraska sits
The same service costs 3.2 times more in Kansas 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· 16th of 51
$4.57
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.