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 $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $11.48 Typical High $15.14 | Professional | None | $7.59 | $11.48 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $7.59 Median $12.88 Typical High $12.88 | Facility | None | $7.59 | $12.88 | $12.88 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $12.88 Typical High $24.55 | Professional | None | $12.59 | $12.88 | $24.55 |
Medica Setting Facility Modifier None Typical Low $9.33 Median $12.59 Typical High $79.43 | Facility | None | $9.33 | $12.59 | $79.43 |
Medica Setting Professional Modifier None Typical Low $3.80 Median $5.75 Typical High $9.12 | Professional | None | $3.80 | $5.75 | $9.12 |
Midlands Setting Professional Modifier None Typical Low $12.59 Median $12.88 Typical High $24.55 | Professional | None | $12.59 | $12.88 | $24.55 |
Midlands Setting Professional Modifier None Typical Low $15.85 Median $24.55 Typical High $31.62 | Professional | None | $15.85 | $24.55 | $31.62 |
United Setting Professional Modifier None Typical Low $4.17 Median $5.50 Typical High $7.41 | Professional | None | $4.17 | $5.50 | $7.41 |
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 $3.80 Median $5.75 Typical High $7.59 | Professional | 52 · Reduced service | $3.80 | $5.75 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.51 Median $2.29 Typical High $3.02 | Professional | 53 · Discontinued | $1.51 | $2.29 | $3.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.12 Median $1.74 Typical High $2.29 | Professional | 55 · Aftercare only | $1.12 | $1.74 | $2.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.76 Median $1.15 Typical High $1.51 | Professional | 56 · Pre-op care only | $0.76 | $1.15 | $1.51 |
Where Nebraska sits
The same service costs 2.1 times more in Idaho 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
$9.12
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.