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 $5.01 Median $5.01 Typical High $5.01 | Facility | None | $5.01 | $5.01 | $5.01 |
Aetna Setting Professional Modifier None Typical Low $1.38 Median $5.01 Typical High $6.03 | Professional | None | $1.38 | $5.01 | $6.03 |
Ambetter Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | None | $3.80 | $3.80 | $3.80 |
Cigna Setting Facility Modifier None Typical Low $3.02 Median $5.62 Typical High $5.62 | Facility | None | $3.02 | $5.62 | $5.62 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $5.62 Typical High $10.72 | Professional | None | $5.50 | $5.62 | $10.72 |
Medica Setting Facility Modifier None Typical Low $4.07 Median $5.50 Typical High $79.43 | Facility | None | $4.07 | $5.50 | $79.43 |
Medica Setting Professional Modifier None Typical Low $1.70 Median $2.51 Typical High $4.79 | Professional | None | $1.70 | $2.51 | $4.79 |
Midlands Setting Professional Modifier None Typical Low $5.50 Median $5.62 Typical High $10.72 | Professional | None | $5.50 | $5.62 | $10.72 |
Midlands Setting Professional Modifier None Typical Low $6.92 Median $10.72 Typical High $13.80 | Professional | None | $6.92 | $10.72 | $13.80 |
United Setting Professional Modifier None Typical Low $1.82 Median $2.34 Typical High $3.24 | Professional | None | $1.82 | $2.34 | $3.24 |
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 $1.66 Median $2.51 Typical High $3.02 | Professional | 52 · Reduced service | $1.66 | $2.51 | $3.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.66 Median $1.00 Typical High $1.20 | Professional | 53 · Discontinued | $0.66 | $1.00 | $1.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.49 Median $0.76 Typical High $0.89 | Professional | 55 · Aftercare only | $0.49 | $0.76 | $0.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.33 Median $0.50 Typical High $0.60 | Professional | 56 · Pre-op care only | $0.33 | $0.50 | $0.60 |
Where Nebraska sits
The same service costs 2.3 times more in Kansas 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· 18th of 51
$3.80
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.