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 $6.92 Median $6.92 Typical High $6.92 | Facility | None | $6.92 | $6.92 | $6.92 |
Aetna Setting Professional Modifier None Typical Low $1.91 Median $6.92 Typical High $9.12 | Professional | None | $1.91 | $6.92 | $9.12 |
Cigna Setting Facility Modifier None Typical Low $4.17 Median $7.76 Typical High $7.76 | Facility | None | $4.17 | $7.76 | $7.76 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $7.76 Typical High $14.45 | Professional | None | $7.59 | $7.76 | $14.45 |
Medica Setting Facility Modifier None Typical Low $5.62 Median $7.59 Typical High $79.43 | Facility | None | $5.62 | $7.59 | $79.43 |
Medica Setting Professional Modifier None Typical Low $2.29 Median $3.47 Typical High $6.31 | Professional | None | $2.29 | $3.47 | $6.31 |
Midlands Setting Professional Modifier None Typical Low $7.59 Median $7.76 Typical High $14.45 | Professional | None | $7.59 | $7.76 | $14.45 |
Midlands Setting Professional Modifier None Typical Low $9.55 Median $14.45 Typical High $19.05 | Professional | None | $9.55 | $14.45 | $19.05 |
United Setting Professional Modifier None Typical Low $2.45 Median $3.24 Typical High $4.37 | Professional | None | $2.45 | $3.24 | $4.37 |
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 $0.68 Median $1.02 Typical High $1.35 | Professional | 55 · Aftercare only | $0.68 | $1.02 | $1.35 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.45 Median $0.69 Typical High $0.91 | Professional | 56 · Pre-op care only | $0.45 | $0.69 | $0.91 |
Where Nebraska sits
The same service costs 2.1 times more in Kansas 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· 16th of 51
$5.37
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.