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 $13.49 Median $13.49 Typical High $13.49 | Facility | None | $13.49 | $13.49 | $13.49 |
Aetna Setting Professional Modifier None Typical Low $4.07 Median $13.49 Typical High $17.78 | Professional | None | $4.07 | $13.49 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $8.13 Median $15.14 Typical High $15.14 | Facility | None | $8.13 | $15.14 | $15.14 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $15.14 Typical High $28.18 | Professional | None | $14.79 | $15.14 | $28.18 |
Medica Setting Facility Modifier None Typical Low $10.96 Median $14.79 Typical High $79.43 | Facility | None | $10.96 | $14.79 | $79.43 |
Medica Setting Professional Modifier None Typical Low $4.47 Median $6.76 Typical High $10.47 | Professional | None | $4.47 | $6.76 | $10.47 |
Midlands Setting Professional Modifier None Typical Low $14.79 Median $15.14 Typical High $28.18 | Professional | None | $14.79 | $15.14 | $28.18 |
Midlands Setting Professional Modifier None Typical Low $18.62 Median $28.18 Typical High $37.15 | Professional | None | $18.62 | $28.18 | $37.15 |
United Setting Professional Modifier None Typical Low $4.79 Median $6.31 Typical High $8.51 | Professional | None | $4.79 | $6.31 | $8.51 |
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 $1.32 Median $2.00 Typical High $2.63 | Professional | 55 · Aftercare only | $1.32 | $2.00 | $2.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.87 Median $1.35 Typical High $1.78 | Professional | 56 · Pre-op care only | $0.87 | $1.35 | $1.78 |
Where Nebraska sits
The same service costs 2.1 times more in Hawaii than in Colorado. 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· 18th of 51
$10.47
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.