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 $2.14 Median $2.14 Typical High $2.14 | Facility | None | $2.14 | $2.14 | $2.14 |
Aetna Setting Professional Modifier None Typical Low $0.60 Median $2.14 Typical High $2.82 | Professional | None | $0.60 | $2.14 | $2.82 |
Cigna Setting Facility Modifier None Typical Low $1.35 Median $2.40 Typical High $2.51 | Facility | None | $1.35 | $2.40 | $2.51 |
Cigna Setting Professional Modifier None Typical Low $2.34 Median $2.51 Typical High $4.57 | Professional | None | $2.34 | $2.51 | $4.57 |
Medica Setting Facility Modifier None Typical Low $1.74 Median $2.14 Typical High $79.43 | Facility | None | $1.74 | $2.14 | $79.43 |
Medica Setting Professional Modifier None Typical Low $0.72 Median $1.07 Typical High $1.78 | Professional | None | $0.72 | $1.07 | $1.78 |
Midlands Setting Professional Modifier None Typical Low $2.34 Median $2.34 Typical High $4.57 | Professional | None | $2.34 | $2.34 | $4.57 |
Midlands Setting Facility Modifier None Typical Low $2.40 Median $2.40 Typical High $2.40 | Facility | None | $2.40 | $2.40 | $2.40 |
Midlands Setting Professional Modifier None Typical Low $2.95 Median $4.57 Typical High $5.89 | Professional | None | $2.95 | $4.57 | $5.89 |
United Setting Professional Modifier None Typical Low $0.78 Median $1.05 Typical High $1.45 | Professional | None | $0.78 | $1.05 | $1.45 |
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 $0.22 Median $0.32 Typical High $0.42 | Professional | 55 · Aftercare only | $0.22 | $0.32 | $0.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.15 Median $0.21 Typical High $0.28 | Professional | 56 · Pre-op care only | $0.15 | $0.21 | $0.28 |
Where Nebraska sits
The same service costs 5.8 times more in Hawaii than in Rhode Island. 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
$1.70
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.