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 $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
Aetna Setting Professional Modifier None Typical Low $3.47 Median $11.48 Typical High $15.14 | Professional | None | $3.47 | $11.48 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $6.92 Median $12.88 Typical High $12.88 | Facility | None | $6.92 | $12.88 | $12.88 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $12.88 Typical High $23.99 | Professional | None | $12.59 | $12.88 | $23.99 |
Medica Setting Facility Modifier None Typical Low $9.33 Median $12.59 Typical High $79.43 | Facility | None | $9.33 | $12.59 | $79.43 |
Medica Setting Professional Modifier None Typical Low $3.80 Median $5.75 Typical High $8.91 | Professional | None | $3.80 | $5.75 | $8.91 |
Midlands Setting Professional Modifier None Typical Low $12.59 Median $12.88 Typical High $23.99 | Professional | None | $12.59 | $12.88 | $23.99 |
Midlands Setting Professional Modifier None Typical Low $15.85 Median $23.99 Typical High $31.62 | Professional | None | $15.85 | $23.99 | $31.62 |
United Setting Professional Modifier None Typical Low $4.07 Median $5.37 Typical High $7.24 | Professional | None | $4.07 | $5.37 | $7.24 |
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 $1.12 Median $1.70 Typical High $2.24 | Professional | 55 · Aftercare only | $1.12 | $1.70 | $2.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.76 Median $1.12 Typical High $1.51 | Professional | 56 · Pre-op care only | $0.76 | $1.12 | $1.51 |
Where Nebraska sits
The same service costs 2.1 times more in Idaho 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· 17th of 51
$8.91
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.