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 $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $20.89 Typical High $27.54 | Professional | None | $13.80 | $20.89 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $23.44 Typical High $23.44 | Facility | None | $13.80 | $23.44 | $23.44 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $23.44 Typical High $44.67 | Professional | None | $22.91 | $23.44 | $44.67 |
Medica Setting Facility Modifier None Typical Low $16.98 Median $22.91 Typical High $97.72 | Facility | None | $16.98 | $22.91 | $97.72 |
Medica Setting Professional Modifier None Typical Low $6.92 Median $10.47 Typical High $16.60 | Professional | None | $6.92 | $10.47 | $16.60 |
Midlands Setting Professional Modifier None Typical Low $22.91 Median $23.44 Typical High $44.67 | Professional | None | $22.91 | $23.44 | $44.67 |
Midlands Setting Professional Modifier None Typical Low $28.84 Median $44.67 Typical High $57.54 | Professional | None | $28.84 | $44.67 | $57.54 |
United Setting Professional Modifier None Typical Low $7.59 Median $10.00 Typical High $13.49 | Professional | None | $7.59 | $10.00 | $13.49 |
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 $2.04 Median $3.16 Typical High $4.17 | Professional | 55 · Aftercare only | $2.04 | $3.16 | $4.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.38 Median $2.09 Typical High $2.75 | Professional | 56 · Pre-op care only | $1.38 | $2.09 | $2.75 |
Where Nebraska sits
The same service costs 2.3 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
$16.60
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.