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 $5.25 Median $5.25 Typical High $5.25 | Facility | None | $5.25 | $5.25 | $5.25 |
Aetna Setting Professional Modifier None Typical Low $1.58 Median $5.25 Typical High $6.92 | Professional | None | $1.58 | $5.25 | $6.92 |
Cigna Setting Facility Modifier None Typical Low $3.16 Median $5.89 Typical High $5.89 | Facility | None | $3.16 | $5.89 | $5.89 |
Cigna Setting Professional Modifier None Typical Low $5.75 Median $5.89 Typical High $10.96 | Professional | None | $5.75 | $5.89 | $10.96 |
Medica Setting Facility Modifier None Typical Low $4.27 Median $5.75 Typical High $79.43 | Facility | None | $4.27 | $5.75 | $79.43 |
Medica Setting Professional Modifier None Typical Low $1.74 Median $2.57 Typical High $4.07 | Professional | None | $1.74 | $2.57 | $4.07 |
Midlands Setting Professional Modifier None Typical Low $5.75 Median $5.89 Typical High $10.96 | Professional | None | $5.75 | $5.89 | $10.96 |
Midlands Setting Professional Modifier None Typical Low $7.24 Median $10.96 Typical High $14.13 | Professional | None | $7.24 | $10.96 | $14.13 |
United Setting Professional Modifier None Typical Low $1.86 Median $2.45 Typical High $3.31 | Professional | None | $1.86 | $2.45 | $3.31 |
4 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 52 · Reduced service Typical Low $1.70 Median $2.63 Typical High $3.47 | Professional | 52 · Reduced service | $1.70 | $2.63 | $3.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.68 Median $1.05 Typical High $1.38 | Professional | 53 · Discontinued | $0.68 | $1.05 | $1.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.51 Median $0.78 Typical High $1.02 | Professional | 55 · Aftercare only | $0.51 | $0.78 | $1.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.34 Median $0.52 Typical High $0.69 | Professional | 56 · Pre-op care only | $0.34 | $0.52 | $0.69 |
Where Nebraska sits
The same service costs 2.1 times more in Hawaii 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
$4.07
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.