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 $12.59 Median $12.59 Typical High $12.59 | Facility | None | $12.59 | $12.59 | $12.59 |
Aetna Setting Professional Modifier None Typical Low $3.47 Median $12.59 Typical High $16.60 | Professional | None | $3.47 | $12.59 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $7.59 Median $14.13 Typical High $14.13 | Facility | None | $7.59 | $14.13 | $14.13 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $14.13 Typical High $26.92 | Professional | None | $13.80 | $14.13 | $26.92 |
Medica Setting Facility Modifier None Typical Low $10.23 Median $13.80 Typical High $79.43 | Facility | None | $10.23 | $13.80 | $79.43 |
Medica Setting Professional Modifier None Typical Low $4.17 Median $6.31 Typical High $10.00 | Professional | None | $4.17 | $6.31 | $10.00 |
Midlands Setting Professional Modifier None Typical Low $13.80 Median $14.13 Typical High $26.92 | Professional | None | $13.80 | $14.13 | $26.92 |
Midlands Setting Professional Modifier None Typical Low $17.38 Median $26.92 Typical High $34.67 | Professional | None | $17.38 | $26.92 | $34.67 |
United Setting Professional Modifier None Typical Low $4.57 Median $6.03 Typical High $8.13 | Professional | None | $4.57 | $6.03 | $8.13 |
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 $1.26 Median $1.91 Typical High $2.51 | Professional | 55 · Aftercare only | $1.26 | $1.91 | $2.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.83 Median $1.26 Typical High $1.66 | Professional | 56 · Pre-op care only | $0.83 | $1.26 | $1.66 |
Where Nebraska sits
The same service costs 2.1 times more in Idaho 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· 17th of 51
$10.00
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.