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 $12.02 Median $12.02 Typical High $12.02 | Facility | None | $12.02 | $12.02 | $12.02 |
Aetna Setting Professional Modifier None Typical Low $3.63 Median $12.02 Typical High $14.13 | Professional | None | $3.63 | $12.02 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $7.08 Median $13.49 Typical High $13.49 | Facility | None | $7.08 | $13.49 | $13.49 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $13.49 Typical High $25.12 | Professional | None | $13.18 | $13.49 | $25.12 |
Medica Setting Facility Modifier None Typical Low $9.55 Median $13.18 Typical High $79.43 | Facility | None | $9.55 | $13.18 | $79.43 |
Medica Setting Professional Modifier None Typical Low $3.98 Median $5.89 Typical High $9.33 | Professional | None | $3.98 | $5.89 | $9.33 |
Midlands Setting Professional Modifier None Typical Low $13.18 Median $13.49 Typical High $25.12 | Professional | None | $13.18 | $13.49 | $25.12 |
Midlands Setting Professional Modifier None Typical Low $16.60 Median $25.12 Typical High $32.36 | Professional | None | $16.60 | $25.12 | $32.36 |
United Setting Professional Modifier None Typical Low $4.27 Median $5.62 Typical High $7.59 | Professional | None | $4.27 | $5.62 | $7.59 |
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 $3.89 Median $5.89 Typical High $7.08 | Professional | 52 · Reduced service | $3.89 | $5.89 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.55 Median $2.40 Typical High $2.82 | Professional | 53 · Discontinued | $1.55 | $2.40 | $2.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.17 Median $1.78 Typical High $2.09 | Professional | 55 · Aftercare only | $1.17 | $1.78 | $2.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.78 Median $1.20 Typical High $1.41 | Professional | 56 · Pre-op care only | $0.78 | $1.20 | $1.41 |
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· 18th of 51
$9.33
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.