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 $2.34 Median $2.34 Typical High $2.34 | Facility | None | $2.34 | $2.34 | $2.34 |
Aetna Setting Professional Modifier None Typical Low $0.65 Median $2.34 Typical High $3.09 | Professional | None | $0.65 | $2.34 | $3.09 |
Cigna Setting Facility Modifier None Typical Low $1.41 Median $2.63 Typical High $2.63 | Facility | None | $1.41 | $2.63 | $2.63 |
Cigna Setting Professional Modifier None Typical Low $2.57 Median $2.63 Typical High $5.01 | Professional | None | $2.57 | $2.63 | $5.01 |
Medica Setting Facility Modifier None Typical Low $1.91 Median $2.34 Typical High $79.43 | Facility | None | $1.91 | $2.34 | $79.43 |
Medica Setting Professional Modifier None Typical Low $0.78 Median $1.17 Typical High $1.82 | Professional | None | $0.78 | $1.17 | $1.82 |
Midlands Setting Professional Modifier None Typical Low $2.57 Median $2.63 Typical High $5.01 | Professional | None | $2.57 | $2.63 | $5.01 |
Midlands Setting Facility Modifier None Typical Low $2.24 Median $2.24 Typical High $2.24 | Facility | None | $2.24 | $2.24 | $2.24 |
Midlands Setting Professional Modifier None Typical Low $3.24 Median $5.01 Typical High $6.46 | Professional | None | $3.24 | $5.01 | $6.46 |
United Setting Professional Modifier None Typical Low $0.85 Median $1.12 Typical High $1.51 | Professional | None | $0.85 | $1.12 | $1.51 |
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 $0.23 Median $0.35 Typical High $0.46 | Professional | 55 · Aftercare only | $0.23 | $0.35 | $0.46 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.15 Median $0.23 Typical High $0.31 | Professional | 56 · Pre-op care only | $0.15 | $0.23 | $0.31 |
Where Nebraska sits
The same service costs 5.4 times more in Kansas than in Kentucky. 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
$1.82
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.