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 $3.89 Median $3.89 Typical High $3.89 | Facility | None | $3.89 | $3.89 | $3.89 |
Aetna Setting Professional Modifier None Typical Low $1.20 Median $3.89 Typical High $5.01 | Professional | None | $1.20 | $3.89 | $5.01 |
Cigna Setting Facility Modifier None Typical Low $2.34 Median $4.37 Typical High $4.37 | Facility | None | $2.34 | $4.37 | $4.37 |
Cigna Setting Professional Modifier None Typical Low $4.27 Median $4.37 Typical High $8.32 | Professional | None | $4.27 | $4.37 | $8.32 |
Medica Setting Facility Modifier None Typical Low $3.16 Median $4.27 Typical High $79.43 | Facility | None | $3.16 | $4.27 | $79.43 |
Medica Setting Professional Modifier None Typical Low $1.29 Median $1.95 Typical High $3.02 | Professional | None | $1.29 | $1.95 | $3.02 |
Midlands Setting Professional Modifier None Typical Low $4.27 Median $4.37 Typical High $8.32 | Professional | None | $4.27 | $4.37 | $8.32 |
Midlands Setting Professional Modifier None Typical Low $5.37 Median $8.32 Typical High $10.72 | Professional | None | $5.37 | $8.32 | $10.72 |
United Setting Professional Modifier None Typical Low $1.41 Median $1.82 Typical High $2.45 | Professional | None | $1.41 | $1.82 | $2.45 |
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 $1.29 Median $1.95 Typical High $2.51 | Professional | 52 · Reduced service | $1.29 | $1.95 | $2.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.51 Median $0.78 Typical High $1.00 | Professional | 53 · Discontinued | $0.51 | $0.78 | $1.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.38 Median $0.59 Typical High $0.76 | Professional | 55 · Aftercare only | $0.38 | $0.59 | $0.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.26 Median $0.39 Typical High $0.50 | Professional | 56 · Pre-op care only | $0.26 | $0.39 | $0.50 |
Where Nebraska sits
The same service costs 2.2 times more in Kansas 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· 16th of 51
$3.02
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.