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 $8.32 Median $8.32 Typical High $8.32 | Facility | None | $8.32 | $8.32 | $8.32 |
Aetna Setting Professional Modifier None Typical Low $2.57 Median $8.32 Typical High $10.96 | Professional | None | $2.57 | $8.32 | $10.96 |
Cigna Setting Facility Modifier None Typical Low $5.01 Median $9.33 Typical High $9.33 | Facility | None | $5.01 | $9.33 | $9.33 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $9.33 Typical High $17.78 | Professional | None | $9.12 | $9.33 | $17.78 |
Medica Setting Facility Modifier None Typical Low $6.76 Median $8.51 Typical High $79.43 | Facility | None | $6.76 | $8.51 | $79.43 |
Medica Setting Professional Modifier None Typical Low $2.75 Median $4.17 Typical High $6.61 | Professional | None | $2.75 | $4.17 | $6.61 |
Midlands Setting Professional Modifier None Typical Low $9.12 Median $9.33 Typical High $17.78 | Professional | None | $9.12 | $9.33 | $17.78 |
Midlands Setting Professional Modifier None Typical Low $11.48 Median $17.78 Typical High $22.91 | Professional | None | $11.48 | $17.78 | $22.91 |
United Setting Professional Modifier None Typical Low $3.02 Median $3.98 Typical High $5.37 | Professional | None | $3.02 | $3.98 | $5.37 |
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 $0.83 Median $1.26 Typical High $1.66 | Professional | 55 · Aftercare only | $0.83 | $1.26 | $1.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.55 Median $0.83 Typical High $1.12 | Professional | 56 · Pre-op care only | $0.55 | $0.83 | $1.12 |
Where Nebraska sits
The same service costs 2.1 times more in Hawaii than in Delaware. 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
$6.61
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.